Totally intracorporeal laparoscopic colorectal anastomosis using circular stapler.

Details

Serval ID
serval:BIB_CA9BA3154245
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Title
Totally intracorporeal laparoscopic colorectal anastomosis using circular stapler.
Journal
Surgical Endoscopy
Author(s)
Bucher P., Wutrich P., Pugin F., Gonzales M., Gervaz P., Morel P.
ISSN
1432-2218 (Electronic)
ISSN-L
0930-2794
Publication state
Published
Issued date
2008
Volume
22
Number
5
Pages
1278-1282
Language
english
Notes
Publication types: Evaluation Studies ; Journal Article
Publication Status: ppublish
Abstract
BACKGROUND: A number of surgical techniques for colorectal anastomosis have been described for laparoscopic left-sided colectomies. Due to the complexity of these procedures, open preparation of the proximal bowel for circular stapler anastomosis through a Pfannenstiel incision has become the gold standard. We report a new laparoscopic technique for totally intracorporeal colorectal circular anastomosis (TLCCA) using a circular stapler.
METHODS: Preliminary experience using TLCCA in three patients scheduled for laparoscopic left colectomies (two) and sigmoidectomy (one).
RESULTS: Side-to-end colorectal anastomosis through TLCCA was feasible in all patients scheduled for preliminary experience. Median time from anvil insertion into abdominal cavity to anastomosis was 14 (11-17) minutes. No postoperative complications were recorded.
CONCLUSION: Side-to-end anastomosis can be easily and safely performed using conventional circular stapler through TLCCA. TLCCA is performed using four laparoscopic ports without additional skin incision (except trocars incision) and allows the retrieval of surgical pieces through a specimen bag.
Keywords
Anastomosis, Surgical/methods, Colectomy/instrumentation, Colectomy/methods, Colon/surgery, Equipment Design, Humans, Laparoscopy/methods, Middle Aged, Rectum/surgery, Surgical Staplers, Surgical Stapling/instrumentation, Surgical Stapling/methods, Treatment Outcome
Pubmed
Create date
28/09/2015 15:47
Last modification date
20/08/2019 16:45
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