Ultralow laparoscopic resection of the rectum and coloanal anastomosis. Experimental research on the pig

Autor: REA R, RUGGIERO, Roberto, BOCCIA G, VARLETTA G, SACCONE C, LAPROVITERA A, FERRARA A, PROCACCINI, Eugenio
Přispěvatelé: Rea, R, Ruggiero, Roberto, Boccia, G, Varletta, G, Saccone, C, Laprovitera, A, Ferrara, A, Procaccini, Eugenio
Jazyk: italština
Rok vydání: 1996
Předmět:
Popis: Nowday oncologic surgery is defining new criterias in the treatment of rectal cancer, preservation of sfincterial function, ultra-low resections with distal margin at only 2 cm distally to the tumor, role of mesorectum as preferential site of limphatic diffusion, preservation of lombo-aortic and pelvic nerves. Laparoscopy is showing good results m bowel surgery so as previously got on biliary tract: less visceral manipulation, less stimutation of immunologic system, less pain, early resumption of peristalsis and food intake, better ricovery, less hospital stay. We experimented on pig ultra-low laparoscopic resection of the rectum, with preservation of sfincterial function, and mechanical anastomosis at the upper edge of the sfincterial ring. The evaluation of surgical technique, post-operative supervision, and follow-up instrumental control (anal manometry, endo-rectal ultrasonography, sfincterial elettromano-metry, Rx barium enema) show technical feseability and confirm a better recovery with regular defecatory function.
Databáze: OpenAIRE