New Laparoscopic Double-Stapling Technique |
| |
Authors: | Madoka Hamada Yutaka Nishioka Yohei Kurose Takao Nishimura Yoshihito Furukita Kazuhide Ozaki Toshio Nakamura Yasuo Fukui Toshikatsu Taniki Tadashi Horimi |
| |
Affiliation: | (1) Department of General and Digestive Surgery, Kochi Health Sciences Center, Kochi, Japan;(2) Kochi Health Sciences Center, 52125-1 Ike, Kochi-city Kochi, Japan, 781-855 |
| |
Abstract: | Background Laparoscopic surgery for colon cancer has been shown by several randomized, controlled trials to be an acceptable alternative to open surgery; however, laparoscopic rectal surgery has not been evaluated in a randomized trial. One of the most serious problems associated with laparoscopic rectal surgery are bowel clamping, irrigation, and transection of the rectum, and laparoscopic rectal surgery has not been as reliable as open rectal surgery. Materials and Methods We present our new technique, the laparoscopic double-stapling technique, which eliminates these problems. This technique uses curved Doyen forceps introduced through the wound just above pubis symphysis for clamping the rectal wall at the anal side of the tumor. An endolinear stapler (length 60 mm) is inserted through the same wound, applied at the rectal wall parallel and caudal to the Doyen forceps, and transects the rectum under pneumoperitoneum. We used this technique for eight cases of rectal surgery. Results and Discussion The laparoscopic double-stapling technique provided secure bowel clamping and rectal irrigation. The number of cartridges used in laparoscopic double-stapling technique cases was not more than 2, with an average of 1.6 per patient. None of the laparoscopic double-stapling technique cases experienced major complications. Conclusion We consider that many cases of rectal cancer that are suitable for laparoscopic low anterior resection can undergo laparoscopic surgery by using this technique, which will improve the quality of rectal surgery. Presented at the meeting of the Japan Society for Endoscopic Surgery, Kyoto, Japan, December 5 to 7, 2006. |
| |
Keywords: | Laparoscopic double-stapling technique Rectal cancer Laparoscopic rectal surgery |
本文献已被 PubMed SpringerLink 等数据库收录! |
|