Suprapubic single-incision laparoscopic segmental small bowel resection with intracorporeal manual anastomosis

Autor: Guy-Bernard Cadière, Konstantin Grozdev, Giovanni Dapri, Sebastian Faict
Rok vydání: 2015
Předmět:
Zdroj: Surgical Oncology. 24:1-2
ISSN: 0960-7404
DOI: 10.1016/j.suronc.2014.11.003
Popis: A 40 year old lady presenting an unknown anemiawas admitted to consultation. Preoperative work-up evidenced an adenocarcinoma of the small bowel at 120 cm from the pylorus [2,3]. A suprapubic SIL segmental small bowel resection was proposed to the patient. The procedure was performed with the surgeon between the patient's legs, using three reusable trocars above the pubic bone. Curved reusable instruments permitted to surgeon to work under ergonomic conditions, maintaining a low cost of SIL (Fig. 1a). For the insertion of the linear stapler, a temporary 5-mm scope was used and the intestinal continuity was established by a completely intracorporeal manual end-to-end anastomosis (Fig. 1b). The mesenteric windowwas closed as well. The specimen was extracted suprapubically, after protection and have joined together the three windows of trocars.
Databáze: OpenAIRE