Document Detail


Modified stapled transanal rectal resection (Starr) for full thickness excision of rectal tumour.
MedLine Citation:
PMID:  20066569     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Traditionally, adenomatous rectal lesions and unexpected malignant polyps that could not be removed endoscopically are referred to surgery. Local excision is the treatment of choice, and several techniques have been proposed. The choice of the approach requires that the tumour is excised intact, with a low recurrence rate and limited morbidity. Local excision can be a straight forward or conversely a demanding procedure due to the restricted space in which the surgeon must work and the difficulty of achieving a satisfactory exposure. METHODS: We describe a modified stapled transanal rectal resection for the excision of flat lesions with a diameter up to 2 cm and located between 5 and 12 cm from the anal verge. DISCUSSION AND CONCLUSION: In our experience, it is quick, simple, and easy to teach but it has not previously been reported. It provides full thickness resection with adequate lateral margins. It overcomes some of the limits of the incomplete surgical field exposure and difficult manipulation, since after the confectioning of double half purse-string suture, the suture and sectioning is made by the stapler device.
Authors:
Pierpaolo Sileri; Vito M Stolfi; Giampiero Palmieri; Domenico Benavoli; Stefano D' Ugo; Marco D' Eletto
Related Documents :
2978669 - An abdominal repair for complete rectal prolapse.
2117039 - Staple gun in the surgery of hypopharyngeal diverticula.
9354169 - Esophagojejunostomy with manual single layer suturing after a total gastrectomy for gas...
2642789 - Early infective complications and late recurrent cancer in stapled colonic anastomoses.
3598319 - Raising a colostomy--results of a prospective surgical audit.
19907919 - Vacuum assisted closure in coloproctology.
1787319 - Surgical treatment of hydatid cyst of liver.
20729699 - Video-assisted thoracoscopic surgery (vats) drainage of salmonella enteritidis empyema ...
18097319 - Intra-abdominal actinomycosis 11 years after spilled gallstones at the time of laparosc...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract     Volume:  14     ISSN:  1873-4626     ISO Abbreviation:  J. Gastrointest. Surg.     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-19     Completed Date:  2010-06-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9706084     Medline TA:  J Gastrointest Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  739-42     Citation Subset:  IM    
Affiliation:
Department of Surgery, University of Rome, Tor Vergata, Rome, Italy. piersileri@yahoo.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adenocarcinoma / diagnosis,  surgery*
Adenoma / diagnosis,  surgery*
Biopsy
Colonic Polyps / surgery*
Colonoscopy
Diagnostic Imaging
Digestive System Surgical Procedures / methods*
Female
Humans
Male
Rectal Neoplasms / diagnosis,  surgery*
Surgical Stapling*

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


Previous Document:  Acute giant gastric volvulus causing cardiac tamponade.
Next Document:  Outcome after curative resection of large (>or=10 cm) gastric gastrointestinal stromal tumors: how f...