Transanal ileoproctostomy is feasible in human cadavers
| Autor: | Lino Polese, G. Da Dalt, Lorenzo Norberto, Andrea Porzionato, Giovanni Lezoche, Carla Stecco, Veronica Macchi, Emanuele Lezoche, Stefano Merigliano, R. De Caro |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Male
Natural Orifice Endoscopic Surgery transanal endoscopic microsurgery medicine.medical_specialty Microsurgery medicine.medical_treatment Rectum Anal Canal Anastomosis Endoscopy Gastrointestinal Natural Orifice Transluminal Endoscopic Surgery transanal endoscopic microsurgery transanal bypass Stoma (medicine) Ileum Ileoproctostomy Peritoneoscopy medicine Terminal ileum Cadaver Humans bypass Aged Human cadaver Aged 80 and over business.industry Anastomosis Surgical Gastroenterology Middle Aged Surgery medicine.anatomical_structure Feasibility Studies transanal Female business Natural Orifice Transluminal Endoscopic Surgery |
| Popis: | Aim An ileorectal bypass performed entirely through a transanal route has recently been described in an animal model. The present study aimed to demonstrate its technical feasibility in four human cadavers. Method A transanal endoscopic microsurgery (TEM) device and endoscopic instruments were used. The principal steps of the procedure included insertion of the TEM device, rectostomy above the peritoneal reflection, peritoneoscopy using a standard gastroscope and delivery of the small bowel through the proctostomy to perform an anastomosis. Results The procedure was successfully completed using transanal access in all cases. The mean procedure time was 90 min. The bypass was patent, and the anastomosis between the intraperitoneal rectum and the terminal ileum was leakproof. Conclusion Transanal ileoproctostomy is technically feasible in human cadavers. The procedure may become an alternative to stoma formation in selected patients with colonic obstruction. |
| Databáze: | OpenAIRE |
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