Autor: |
Limbert, M, Almeida, J Mendes de |
Zdroj: |
Diseases of the Colon and Rectum; December 2009, Vol. 52 Issue: 12 p2048-2050, 3p |
Abstrakt: |
Laparoscopic anterior resection with total mesorectal excision for middle and lower third rectal cancer remains a difficult operation, in particular, in male patients with a narrow pelvis and bulky mesentery. In this type of patient, the available staplers do not allow an easy transection of the rectum close to the pelvic floor. A new approach that uses instruments (dilator, obturator, and pursestring anoscope) specifically designed for the technique of stapled hemorrhoidopexy and a common circular stapler can overcome all these issues. |
Databáze: |
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