| International Session（Symposium）4(JSGS・JSGE・JGES) |
| Fri. November 6th 14:30 - 17:00 Room 2: Kobe International Exhibition Hall No.2 Building Hall (South) |
| The benefit of laparoscopic surgery for rectal cancer | |||
| Shuichiro Matoba1, Hiroya Kuroyanagi1, Masashi Ueno1 | |||
| 1Department of Gastroenterological Surgery, Toranomon Hospital | |||
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| Currently, there are three options in the minimally invasive surgery for rectal cancer: laparoscopic surgery, robotic surgery and transanal total mesorectal excision (TaTME). We have performed laparoscopic surgery for rectal cancer since 1998. Robotic surgery and TaTME were introduced in 2019 and 2016, respectively. Each hospital has its own suitable surgical approach. I would like to state benefit of laparoscopic surgery as a surgeon who is specialized in laparoscopic surgery. Unlike conventional surgery for rectal cancer, TaTME requires the special anatomical understanding and procedure. Therefore special training is needed to aquire TaTME. Laparoscopic and robotic surgeries are performed with almost the same anatomical understanding and procedures. A lot of surgeons using robotic system consider that they can control clear vision by themselves, and multi-joint instruments provide more benefit than laparoscopic surgery. However, at the moment, there are some limitations in robotic surgery compared to laparoscopic surgery, such as the lack of tactile sensation or the difficulty of the suction system. It is also impossible to introduce robotic surgery in all hospitals. Laparoscopic surgery has been developing for decades with the device improvement. Laparoscopic surgery can be performed for cases in which pneumoperitoneum is possible regardless of the tumor or the patient status. There are some problems in laparoscopic surgery such as difficulty in manipulation. We think the benefit of laparoscopic surgery is that it has the least limitation. We will present the techniques and the outcomes of laparoscopic surgery for rectal cancer. |
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Index Term 1: rectal cancer Index Term 2: Laparoscopic surgery |
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