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Title

Totally intracorporeal laparoscopic colorectal anastomosis using circular stapler

Authors
Bucher, Pascal
Wutrich, Philippe
Pugin, Francois
Gonzales, Michel
Published in Surgical Endoscopy. 2008, vol. 22, no. 5, p. 1278-1282
Abstract BACKGROUND: A number of surgical techniques for colorectal anastomosis have been described for laparoscopic left-sided colectomies. Due to the complexity of these procedures, open preparation of the proximal bowel for circular stapler anastomosis through a Pfannenstiel incision has become the gold standard. We report a new laparoscopic technique for totally intracorporeal colorectal circular anastomosis (TLCCA) using a circular stapler. METHODS: Preliminary experience using TLCCA in three patients scheduled for laparoscopic left colectomies (two) and sigmoidectomy (one). RESULTS: Side-to-end colorectal anastomosis through TLCCA was feasible in all patients scheduled for preliminary experience. Median time from anvil insertion into abdominal cavity to anastomosis was 14 (11-17) minutes. No postoperative complications were recorded. CONCLUSION: Side-to-end anastomosis can be easily and safely performed using conventional circular stapler through TLCCA. TLCCA is performed using four laparoscopic ports without additional skin incision (except trocars incision) and allows the retrieval of surgical pieces through a specimen bag.
Keywords Anastomosis, Surgical/methodsColectomy/instrumentation/methodsColon/surgeryEquipment DesignHumansLaparoscopy/methodsMiddle AgedRectum/surgerySurgical StaplersSurgical Stapling/instrumentation/methodsTreatment Outcome
Stable URL http://archive-ouverte.unige.ch/unige:1447
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Identifiers
PMID: 17943355
Structures
Research group Chirurgie viscérale (104)

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Deposited on : 2009-04-29

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