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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
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Related Experiment Video

Updated: Jul 10, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
12:45

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

Laparoscopic intersphincteric resection for low rectal cancer.

Elena Orsenigo1, Saverio Di Palo, Andrea Vignali

  • 1Chirurgia gastroenterologica, Department of Surgery, University Vita-Salute, San Raffaele Scientific Hospital, Via Olgettina, 60-20132 Milan, Italy. orsenigo.elena@hsr.it

Surgical Oncology
|November 21, 2007
PubMed
Summary

Laparoscopic intersphincteric resection (ISR) is a feasible surgical option for low rectal cancer, offering a less invasive approach. Combined with laparoscopic surgery, it provides high-quality, minimally invasive treatment while aiming to preserve sphincter function and quality of life.

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The Pocket-Creation Procedure of Endoscopic Submucosal Dissection for Large Rectal Laterally Spreading Tumors

Published on: February 13, 2026

Area of Science:

  • Surgical Oncology
  • Minimally Invasive Surgery
  • Colorectal Surgery

Background:

  • Rectal cancer management focuses on oncologic control, survival, and quality of life, including sphincter preservation.
  • Radical surgical resection remains the primary curative treatment for rectal cancer.
  • Preserving fecal continence is crucial for acceptable quality of life post-surgery.

Purpose of the Study:

  • To review surgical issues in managing low rectal cancer patients undergoing laparoscopic intersphincteric resection (ISR).
  • To assess the feasibility and clinical application of laparoscopic ISR based on existing literature.
  • To highlight the potential of combined laparoscopic ISR for improved surgical outcomes.

Main Methods:

  • Literature search for studies documenting the clinical application of laparoscopic ISR in low rectal cancer.
  • Review of five identified studies focusing on laparoscopic ISR techniques and outcomes.
  • Analysis of data regarding feasibility, sphincter function, and oncologic control.

Main Results:

  • Laparoscopic ISR is suggested as a feasible alternative to open surgery for selected low rectal cancer patients.
  • Minimally invasive procedures like laparoscopic ISR can lead to improved patient comfort and shorter recovery.
  • Existing studies indicate that combining ISR with laparoscopic surgery can achieve high-quality, less invasive treatment.

Conclusions:

  • Laparoscopic ISR is a viable option for low rectal cancer, offering a less invasive surgical approach.
  • Further randomized controlled trials are needed to definitively establish the long-term results of laparoscopic ISR.
  • The combination of ISR and laparoscopic techniques holds promise for enhancing surgical quality and patient outcomes.