Endoscopic surgery involves performing procedures via natural routes using a flexible endoscope. Initially practiced in gynecology, it later expanded into gastroenterology, attracting significant interest. In , a team successfully performed an examination of the abdominal cavity on a porcine model by introducing a small camera through the stomach transgastric peritoneoscopy , without any external scarring. As practice advanced, manufacturers developed instruments adapted to this approach, fostering further advancements in this type of surgery.
She explains the benefits of endoscopic surgery for patients. Advances in colorectal surgery in France and around the world.
A specialist in minimally invasive surgery, particularly colorectal and bariatric surgery, she is internationally renowned for her expertise in the transanal endoscopic treatment of rectal cancer. At the time, I was conducting experimental work on transanal access in rectal surgery and was very interested in the NOTES program developed by IRCAD, which had resulted in the first scarless cholecystectomy in Joel Leroy and Silvana Perretta, who worked extensively on the transvaginal and transgastric routes, were very interested in my profile and my knowledge of the transanal route.
I learned a great deal from my experience at IRCAD, and fruitful exchanges with the institute have never ceased. With Silvana Perretta, more specialized in the gastric route, we compared our practices and considered how we could combine the transgastric and transanal routes. Our work on this new type of surgery led us to engage with manufacturers to improve the available equipment. Transrectal treatment of rectal cancer involves passing through the natural opening in the anus to resect remove the cancer.
The extent of resection depends on the size and nature of the cancer. If the cancer is in the superficial layer, it can be easily removed without incising the rectal wall. If it has invaded other layers, the tumor must be removed beyond the superficial layer, often requiring lymph node removal, necessitating a more complex dissection.
