Document Detail

New technique for rectal division in laparoscopic anterior resection--with video.
MedLine Citation:
PMID:  18612681     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: A new technique for performing laparoscopic anterior resection is described. Main differences from the standard technique are (1) pneumoperitoneum to improve exposure of the rectum, even in a narrow pelvis; (2) rectal division performed using a conventional linear stapler inserted via a 4.5 cm suprapubic incision; and (3) eversion of the rectum for tumors close to the anal verge, with transection performed under direct vision. METHODS: Results in 78 patients who underwent transabdominal transection and in 7 patients requiring rectal eversion were compared retrospectively with those in 61 consecutive patients who had undergone standard laparoscopic resection. RESULTS: The duration of the operation and estimated blood loss were greater with rectal eversion, and more staple cartridges were used for the conventional technique; however, the incidence of complications was similar for all three groups. Five patients in the conventional group required conversion to an open procedure. CONCLUSION: The new technique should improve the safety of resection.
Yosuke Fukunaga; Masayuki Higashino; Shinya Tanimura; Masashi Takemura; Yushi Fujiwara; Harushi Osugi
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World journal of surgery     Volume:  32     ISSN:  0364-2313     ISO Abbreviation:  World J Surg     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-08-18     Completed Date:  2009-01-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7704052     Medline TA:  World J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2095-100     Citation Subset:  IM    
Department of Gastroenterological Surgery, Osaka City General Hospital, 2-13-22 Miyakojima-hondoori, Miyakojima-ku, Osaka 5340021, Japan.
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MeSH Terms
Blood Loss, Surgical
Laparoscopy / methods*
Middle Aged
Pneumoperitoneum, Artificial
Postoperative Complications / epidemiology
Rectal Neoplasms / surgery*
Risk Factors
Statistics, Nonparametric
Surgical Stapling
Time Factors
Treatment Outcome
Video Recording*

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

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