[Laparoscopic very low anterior resection with coloanal anastomosis and intersphincteric resection].
نویسنده
چکیده
The author present the laparoscopic coloanal anastomosis and intersphincteric resection technique to treat patients with very low rectal cancer. The operative steps are: 1 - Patient positioning; 2 - Instruments and equip positioning; 3 - Insertion of the ports; 4 - Preparation of the operative field; 5 - Difining and dividing the inferior mesenteric artery and vein by the medial approach; 6 - Mobilization of splenic flexure and sigmoid colon; 7 - rectal mobilization and total mesorectum excision by Rullier technique; 8 - Rectal division and coloanal anastomosis; 9 - intersphincteric resection and coloanal anastomosis by coloplasty, J pouch or latero-to-end techniques. The technique employed is safe and have presented low rate of complication and no mortality.
منابع مشابه
Oncological and functional outcome of intersphincteric resection and coloanal anastomosis for very low rectal cancer
متن کامل
Multicentre study of robotic intersphincteric resection for low rectal cancer.
BACKGROUND There is a lack of information regarding the oncological safety of robotic intersphincteric resection (ISR) with coloanal anastomosis. The objective of this study was to compare the long-term feasibility of robotic compared with laparoscopic ISR. METHODS Between January 2008 and May 2011, consecutive patients who underwent robotic or laparoscopic ISR with coloanal anastomosis from ...
متن کاملIntersphincteric Resection and Coloanal Anastomosis in Treatment of Distal Rectal Cancer
In the treatment of distal rectal cancer, abdominoperineal resection is traditionally performed. However, the recognition of shorter safe distal resection line, intersphincteric resection technique has given a chance of sphincter-saving surgery for patients with distal rectal cancer during last two decades and still is being performed as an alternative choice of abdominoperineal resection. The ...
متن کاملIntersphincteric Resection versus Stapled Coloanal Anastomosis for Low Rectal Cancer
Received December 10, 2007, Accepted March 3, 2008 Correspondence to: Bong Hwa Lee, Department of Surgery, Hallym University College of Medicine, 896 Pyoungchon-dong, Anyang, Kyoungki 431-070, Korea Tel: +82-31-380-1500, Fax: +82-31-380-4118 E-mail: [email protected] Purpose: Local control and functional results of an intersphincteric resection are controversial in Asian, low BMI patients, ev...
متن کاملRobotic intersphincteric resection and coloanal anastomosis: technical detail
Introduction Minimally invasive surgery for colorectal diseases has dramatically changed since the introduction of laparoscopic surgery. The frontline for minimally invasive surgery has further progressed since the advent of robotic surgery, with developments more pronounced for rectal cancers especially considering the perceived technological advantages of robotic surgery over the laparoscopic...
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ورودعنوان ژورنال:
- Revista do Colegio Brasileiro de Cirurgioes
دوره 36 5 شماره
صفحات -
تاریخ انتشار 2009