Colorectal Anastomosis After Laparoscopic Low Anterior Resection with Total Mesorectal Excision A Difficult Problem Made Simple

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: Supplemental Index