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.
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.
Authors: Joe J Tjandra; John W Kilkenny; W Donald Buie; Neil Hyman; Clifford Simmang; Thomas Anthony; Charles Orsay; James Church; Daniel Otchy; Jeffrey Cohen; Ronald Place; Frederick Denstman; Jan Rakinic; Richard Moore; Mark Whiteford Journal: Dis Colon Rectum Date: 2005-03 Impact factor: 4.585
Authors: S M Feinberg; F Parker; Z Cohen; C G Jamieson; E D Myers; R H Railton; B Langer; H S Stern; R S McLeod Journal: Dis Colon Rectum Date: 1986-12 Impact factor: 4.585
Authors: Antonio M de Lacy; David W Rattner; Cedric Adelsdorfer; Marta M Tasende; María Fernández; Salvadora Delgado; Patricia Sylla; Graciela Martínez-Palli Journal: Surg Endosc Date: 2013-03-22 Impact factor: 4.584