A NEW TECHNIQUE TO FACILITATE LAPAROSCOPIC RESECTION OF LOW RECTAL TUMORS

Citation
E. Lezoche et al., A NEW TECHNIQUE TO FACILITATE LAPAROSCOPIC RESECTION OF LOW RECTAL TUMORS, Surgical laparoscopy & endoscopy, 7(1), 1997, pp. 9-12
Citations number
7
Categorie Soggetti
Surgery
ISSN journal
10517200
Volume
7
Issue
1
Year of publication
1997
Pages
9 - 12
Database
ISI
SICI code
1051-7200(1997)7:1<9:ANTTFL>2.0.ZU;2-W
Abstract
To make laparoscopic low rectal resection feasible and technically cor rect, an articulating stapler made for open surgery was employed durin g laparoscopic low rectal resection in two patients with rectal tumors whose distal margins were located at 7 and 8 cm, respectively, from t he dentate line. The problem with laparoscopic linear staplers is that they do not allow transverse resection of low rectal tumors with a do uble-stapling technique, placing the suture line in an exactly perpend icular position to the rectum below the tumor. The use of this stapler made for open surgery allows extension of the laparoscopic approach t o low-lying rectal lesions following established surgical and oncologi cal principles.