Guidelines

What is ultra low anterior resection?

What is ultra low anterior resection?

Ultra-low anterior resection The lower left part of the colon and the entire rectum are removed, along with nearby lymph nodes and fatty tissue. The end of the bowel is joined to the lowest part of the rectum, just above the anus.

How do you perform an anterior resection?

Anterior Resection through Laparoscopic (Keyhole) Surgery

  1. A few small incisions, around 4 to 5 measuring about one centimetre are made in the middle of your lower abdomen.
  2. The laparoscope, a thin tube with a camera attached to one end, is inserted through one of the incisions to view the internal organs.

How is low anterior resection done?

A low anterior resection is done with general anesthesia (where the patient is put into a deep sleep). The surgeon makes several small incisions (cuts) in the abdomen. The cancer and a margin (edge or rim) of normal tissue around the cancer is removed, along with nearby lymph nodes and other tissues around the rectum.

What position may be used when performing a low anterior colon resection?

With few exceptions, the modified lithotomy position is used for sigmoid and low anterior resections.

How long does a low anterior resection take?

LAR surgery usually takes about 4 hours.

Why it is called anterior resection?

Other terms used include low anterior resection (LAR), which classically refers to removal of the sigmoid colon and upper rectum and derives its name from the fact that the dissection is below the anterior reflection of the peritoneal lining.

Is bowel resection major surgery?

What Happens During a Bowel Resection? This is a major surgery. You’ll need to check into a hospital. On the day of your surgery, you’ll get general anesthesia.

Why is anterior resection low?

Low anterior resection (LAR) LAR is a surgery that’s done to treat rectal cancer. During LAR surgery, the part of your rectum with the cancer will be removed. The remaining part of your rectum will be reconnected to your colon.

What does it mean to have low anterior resection?

Low anterior resection (LAR) is defined as resection of the rectum with extraperitoneal rectal anastomosis [17]. The most common indication for an LAR is rectal cancer.

How to prepare for low anterior resection surgery at MSK?

This guide will help you get ready for your low anterior resection (LAR) surgery at Memorial Sloan Kettering (MSK). It will also help you understand what to expect during your recovery. Use this guide as a reference in the days leading up to your surgery. Bring it with you every time you come to MSK, including the day of your surgery.

How are stapling devices used in low anterior resection?

Stapling devices greatly facilitate the technical performance of low anterior resection. A temporary, protective diverting ileostomy or colostomy may be used. Preoperatively, the surgeon may wish to obtain a proctoscopic measurement of the distance from the anal canal to the lesion.

When to use the midline incision for lower anterior resection?

The midline incision can be used in thin patients, especially when a pelvic procedure, such as a low anterior resection, is being performed at the same time, or if the hepatic resection will be limited to the left half of the liver. The patient is positioned supine.