Laparoscopic lower anterior resection is equivalent to laparotomy for lower rectal cancer at the distal line of resection - 05/09/11

Doi : 10.1016/S0002-9610(00)00273-7

Takao Ichihara, MD, PhD ^a,^b,⁎, Yoshi Nagahata, MD, PhD ^c, Hideaki Nomura, MD ^a, Satosi Fukumoto, MD ^a, Tomoaki Urakawa, MD, PhD ^d, Nobuo Aoyama, MD, PhD ^b, Yoshikazu Kuroda, MD, PhD ^a
^a First Department of Surgery (TI, HN, SF, YK), Kobe University School of Medicine, Kobe, Japan
^b Department of Endoscopy (TI, NA), Kobe University School of Medicine, Kobe, Japan
^c Department of Surgery (YN), Mitsubishi Kobe Hospital, Kobe, Japan
^d Department of Surgery (TU), Saiseikai Nakatsu Hospital and Medical Center, Kobe, Japan

^*Requests for reprints should be addressed to Takao Ichihara, MD, PhD, First Department of Surgery, Kobe University School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan

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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Vol 179 - N° 2

P. 97-98 - février 2000 Retour au numéro

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Laparoscopic lower anterior resection is equivalent to laparotomy for lower rectal cancer at the distal line of resection - 05/09/11

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