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Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Ligation of the rectum with an extracorporeal sliding knot facilitating laparoscopic cross-stapling: a procedure revisited

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

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Vis graf over relationer
Abstract Background: Multiple stapler firings during distal rectal division were associated with unduly long stapler line and anastomotic leakage after laparoscopic rectal resection. A simple and relatively easy technique to perform a safe transection of rectum is presented. Materials and Methods: The extracorporeal ligation of the rectum just proximal to the cut end of the rectum before applying the linear stapling stapler facilitates the procedure and requires only a few firings of the stapler during the laparoscopic rectal resections. Results: Ten patients with a median age of 72 years underwent rectal transection with this technique. The procedure was performed with a single 60-mm cartridge in 3 patients, and two firings of the Endo GIA™ (Covidien LLC, Mansfield, MA) with a 45-mm cartridge were necessary for cross-stapling at the level of the pelvic floor in the remaining patients. There were no intraoperative complications. Postoperative complications were seen in 2 patients. Conclusions: This simple technique theoretically seems safer than the conventional approach and should be considered as an additional option for rectal transection.
OriginalsprogEngelsk
TidsskriftJournal of laparoendoscopic & advanced surgical techniques. Part A
Vol/bind23
Udgave nummer11
Sider (fra-til)938-41
Antal sider4
DOI
StatusUdgivet - nov. 2013

ID: 41231747