Abstract | BACKGROUND: Procedures that involve resection of the distal rectum challenge the current limitations of laparoscopic technology, because of lack of compact articulating stapling instruments. METHOD: We improve the procedure with the aid of a Lap disk, an abdominal wall sealing device that was developed for hand-assisted manipulation. A linear stapler capable of changing its stop angle is inserted through the disk, and the rectum is transected by the disk during a second pneumoperitoneum. RESULTS: The transection line becomes equivalent to that obtained with laparotomy. CONCLUSION: This new technique made laparoscopic lower anterior resection possible to transect the lower rectum in the same way as is done with laparotomy.
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Authors | T Ichihara, Y Nagahata, H Nomura, S Fukumoto, T Urakawa, N Aoyama, Y Kuroda |
Journal | American journal of surgery
(Am J Surg)
Vol. 179
Issue 2
Pg. 97-8
(Feb 2000)
ISSN: 0002-9610 [Print] United States |
PMID | 10773141
(Publication Type: Journal Article)
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Topics |
- Abdominal Muscles
(surgery)
- Equipment Design
- Humans
- Laparoscopes
- Laparoscopy
(methods)
- Laparotomy
(instrumentation, methods)
- Pneumoperitoneum, Artificial
- Rectal Neoplasms
(surgery)
- Rectum
(surgery)
- Surgical Staplers
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