Title: IRIS U kit usefulness in transanal total mesorectal excision for lower rectal cancer to
avoid urethral injury
Version: 3 Date: 01 May 2024
Reviewer's report:
This paper demonstrated the utility of using the IRIS-U kit during the execution of taTME
for rectal cancer resection in the deep pelvis, highlighting its ability to visualize safe
demarcation lines. Although the effectiveness of taTME has been previously validated, the risk
of intraoperative injury to the urogenital organs has been a significant concern. This paper
proposes a novel method that reduces the risk of ureteral injury through a relatively simple and
reproducible approach, and it is deemed worthy of publication. However, here are some points
to be revised. I pointed four things to be revised.
##In the discussion, the author indicated the utility and safety of taTME for deep pelvic. rectal
cancer at their institution, as well as the oncological adequacy of the resection. They mention that
adequate lymph node dissection was performed, but it may be beneficial to include the number
of lymph nodes harvested in the oncological evaluation section of Table 1.
##The author stated in the discussion that this technique is particularly suitable for males with
obesity and a narrow pelvis. If possible, it would be good to show that there any correlation
between high BMI in patients and subsequent complications or margin length as presented in
Table 1.
Title: IRIS U kit usefulness in transanal total mesorectal excision for lower rectal cancer to
avoid urethral injury
Version: 3 Date: 01 May 2024
Reviewer's report:
This paper demonstrated the utility of using the IRIS-U kit during the execution of taTME
for rectal cancer resection in the deep pelvis, highlighting its ability to visualize safe
demarcation lines. Although the effectiveness of taTME has been previously validated, the risk
of intraoperative injury to the urogenital organs has been a significant concern. This paper
proposes a novel method that reduces the risk of ureteral injury through a relatively simple and
reproducible approach, and it is deemed worthy of publication. However, here are some points
to be revised. I pointed four things to be revised.
##In the discussion, the author indicated the utility and safety of taTME for deep pelvic. rectal
cancer at their institution, as well as the oncological adequacy of the resection. They mention that
adequate lymph node dissection was performed, but it may be beneficial to include the number
of lymph nodes harvested in the oncological evaluation section of Table 1.
##The author stated in the discussion that this technique is particularly suitable for males with
obesity and a narrow pelvis. If possible, it would be good to show that there any correlation
between high BMI in patients and subsequent complications or margin length as presented in
Table 1.
Please review this paper.
user
Title: IRIS U kit usefulness in transanal total mesorectal excision for lower rectal cancer to
avoid urethral injury
Version: 3 Date: 01 May 2024
Reviewer's report:
This paper demonstrated the utility of using the IRIS-U kit during the execution of taTME
for rectal cancer resection in the deep pelvis, highlighting its ability to visualize safe
demarcation lines. Although the effectiveness of taTME has been previously validated, the risk
of intraoperative injury to the urogenital organs has been a significant concern. This paper
proposes a novel method that reduces the risk of ureteral injury through a relatively simple and
reproducible approach, and it is deemed worthy of publication. However, here are some points
to be revised. I pointed four things to be revised.
##In the discussion, the author indicated the utility and safety of taTME for deep pelvic. rectal
cancer at their institution, as well as the oncological adequacy of the resection. They mention that
adequate lymph node dissection was performed, but it may be beneficial to include the number
of lymph nodes harvested in the oncological evaluation section of Table 1.
##The author stated in the discussion that this technique is particularly suitable for males with
obesity and a narrow pelvis. If possible, it would be good to show that there any correlation
between high BMI in patients and subsequent complications or margin length as presented in
Table 1.
assistant