Document Detail

Intracorporeal colorectal anastomosis following laparoscopic left colon resection.
MedLine Citation:
PMID:  9266637     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The aim of this study was to assess the impact of an intracorporeal double-stapled colorectal anastomosis upon the outcome of laparoscopic left colon resection. METHODS: Fifty-four selected patients underwent elective laparoscopic left colon resection for benign disease. Once resection was completed, a 33-mm suprapubic port allowed insertion of the anvil of a circular stapler into the colon, which was closed by a handsewn purse-string suture using the T-needle technique. The circular stapler was passed transanally to perform a double-stapled anastomosis. Specimens were delivered in a plastic bag via the suprapubic port. RESULTS: There were no deaths. Minor intraoperative and postoperative complications occurred in 3.7% and 9.2% of the patients, respectively. Median operating time was 125 min (range 80-210 min). Complete proximal and distal doughnuts were obtained in all patients and anastomoses were all methylene blue tight. Median hospital stay was 4 (range 3-7) days. CONCLUSIONS: Fashioning double-stapled colorectal anastomoses intracorporeally is feasable and safe.
R Bergamaschi; J P Arnaud
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgical endoscopy     Volume:  11     ISSN:  0930-2794     ISO Abbreviation:  Surg Endosc     Publication Date:  1997 Aug 
Date Detail:
Created Date:  1997-10-08     Completed Date:  1997-10-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8806653     Medline TA:  Surg Endosc     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  800-1     Citation Subset:  IM    
Department of Visceral Surgery, Angers University Hospital, France.
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MeSH Terms
Aged, 80 and over
Anastomosis, Surgical / methods*
Colectomy / methods*
Colon / surgery*
Colonic Diseases / surgery
Laparoscopy / methods*
Middle Aged
Rectum / surgery*
Surgical Staplers
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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