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Scientific article
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English

Totally intracorporeal laparoscopic colorectal anastomosis using circular stapler

Contributors

Bucher, Pascal; Wutrich, Philippe; Pugin, Francois; Gonzales, Michel; Gervaz, Pascal; Morel, Philippe

Published in

Surgical endoscopy, vol. 22, no. 5, p. 1278-1282

Collection

  • Open Access - Licence nationale Springer

Publication date

2008

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/methods
  • Colectomy/instrumentation/methods
  • Colon/surgery
  • Equipment Design
  • Humans
  • Laparoscopy/methods
  • Middle Aged
  • Rectum/surgery
  • Surgical Staplers
  • Surgical Stapling/instrumentation/methods
  • Treatment Outcome

UNIGE affiliation entities

UNIGE research groups

Citation (ISO format)

BUCHER, Pascal et al. Totally intracorporeal laparoscopic colorectal anastomosis using circular stapler. In: Surgical endoscopy, 2008, vol. 22, n° 5, p. 1278–1282. doi: 10.1007/s00464-007-9607-z

Main files (1)

Article (Published version)

Identifiers

Additional URL for this publication

http://www.springerlink.com/content/03tk38437v7qjg68/fulltext.html

Journal ISSN

0930-2794
884views
462downloads

Technical informations

Creation

29/04/2009 08:54:00

First validation

29/04/2009 08:54:00

Update

14/03/2023 15:04:34

Status update

14/03/2023 15:04:34

Last indexation

29/10/2024 11:29:21
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