Real-time in vivo distal margin selection using confocal laser endomicroscopy in transanal total mesorectal excision for rectal cancer

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Prospective Study

World J Gastrointest Surg. Dec 27, 2022; 14(12): 1375-1386
Published online Dec 27, 2022. doi: 10.4240/wjgs.v14.i12.1375

Table 4 Surgical and functional outcomes

Variable
Operative duration: Median (IQR), min	240 (202-265)
pCLE examination duration: Median (IQR), min	17 (15-18)
Estimated blood loss: Median (IQR), mL	27 (20-50)
DRM distance: Median (IQR), mm	7.0 (5.0-10.0)
Anastomotic leakage, n (%)	2 (4.7)
Positive DRM, n (%)	0 (0)
Wexner score¹, median (IQR)	5 (3-6)
Anastomotic stenosis, n (%)	1 (2.3)
Recurrence, n (%)	1 (2.3)
Metastasis, n (%)	2 (4.7)

¹An incontinence score designed by Wexner, determined at 6 mo after stoma closure.

pCLE: Probe-based confocal laser endomicroscopy; DRM: Distal resection margin; IQR: Interquartile range.

Citation: Tan J, Ji HL, Hu YW, Li ZM, Zhuang BX, Deng HJ, Wang YN, Zheng JX, Jiang W, Yan J. Real-time in vivo distal margin selection using confocal laser endomicroscopy in transanal total mesorectal excision for rectal cancer. World J Gastrointest Surg 2022; 14(12): 1375-1386
URL: https://www.wjgnet.com/1948-9366/full/v14/i12/1375.htm
DOI: https://dx.doi.org/10.4240/wjgs.v14.i12.1375

Tan J, Ji HL, Hu YW, Li ZM, Zhuang BX, Deng HJ, Wang YN, Zheng JX, Jiang W, Yan J. Real-time in vivo distal margin selection using confocal laser endomicroscopy in transanal total mesorectal excision for rectal cancer. World J Gastrointest Surg 2022; 14(12): 1375-1386 [PMID: 36632126 DOI: 10.4240/wjgs.v14.i12.1375]

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