A novel laparoscopic technique for stapled colon and rectal anastomosis.
Tech Coloproctol
; 7(3): 192-7, 2003 Oct.
Article
in En
| MEDLINE
| ID: mdl-14628165
ABSTRACT
BACKGROUND:
We present new techniques of stapling anastomosis at laparoscopic colorectal surgery with retrospective review of data.METHODS:
A triangulating stapling technique (T method) was performed in 101 laparoscopic colectomies. Adouble stapling technique (DST) with rectal division by a conventional linear stapler (Abd method) was used in 5 cases of upper/middle rectal cancers and subsequent eversion of the distal rectum from the anus (Ev method) was used for 4 low rectal cancers. Four hundred ninety-six colectomies and 280 rectal surgeries were reviewed.RESULTS:
Leakage was lower in the T group (0.5%, n=196) than in the hand-sewn group (3.0%, n=233). Leakage of the DST using a laparoscopic linear stapler (12.1%, n=91) was significantly higher than with conventional DST (2.1%, n=189). There was no leakage with either Abd method or Ev method. The T-method is acceptable after laparoscopic colectomy.CONCLUSION:
New methods of rectal division using conventional devices are expected to yield reliable anastomosis at laparoscopic rectal surgery.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Rectum
/
Laparoscopy
/
Surgical Stapling
/
Colon
Type of study:
Observational_studies
Limits:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Tech Coloproctol
Journal subject:
GASTROENTEROLOGIA
Year:
2003
Document type:
Article
Affiliation country:
Japan