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.
| Original language | English |
|---|---|
| Journal | Journal of Laparoendoscopic & Advanced Surgical Techniques Parts A & B |
| Volume | 23 |
| Issue number | 11 |
| Pages (from-to) | 938-941 |
| Number of pages | 4 |
| ISSN | 1092-6429 |
| DOIs | |
| Publication status | Published - 1 Nov 2013 |