Laparoscopic lower anterior resection is equivalent to laparotomy for lower rectal cancer at the distal line of resection

被引：10

作者：

Ichihara, T

Nagahata, Y

Nomura, H

Fukumoto, S

Urakawa, T

Aoyama, N

Kuroda, Y

机构：

[1] Kobe Univ, Sch Med, Dept Surg 1, Chuo Ku, Kobe, Hyogo 6500017, Japan

[2] Kobe Univ, Sch Med, Dept Endoscopy, Kobe, Hyogo 650, Japan

[3] Saiseikai Nakatsu Hosp & Med Ctr, Dept Surg, Kobe, Hyogo, Japan

[4] Misubishi Kobe Hosp, Dept Surg, Kobe, Hyogo, Japan

来源：

AMERICAN JOURNAL OF SURGERY | 2000年 / 179卷 / 02期

关键词：

D O I：

10.1016/S0002-9610(00)00273-7

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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. Am J Surg. 2000;179:97-98. (C) 2000 by Excerpta Medica, Inc.

引用

页码：97 / 98

页数：2

共 4 条

[1] Laparoscopic colectomy -: Indications for conversion to laparotomy [J].