Laparoscopic colectomy with trans-anal specimen extraction(TASE), using endoscopic purse-suture instrument ; ENDO-PSI(II) Yujin SUTO 1 , Naoki TOMIZAWA 1 , Tatsumasa ANDO 1 , Kazuhisa ARAKAWA 1 , Kiyohito IWAMATSU 1 , Yasuaki ENOKIDA 1 1Department of Surgery, Japanese Red Cross Maebashi Hospital Keyword: 腹腔鏡下手術 , 経肛門摘出 , ENDO-PSI(II) pp.31-37
Published Date 2016/1/15
DOI https://doi.org/10.11477/mf.4426200211
  • Abstract
  • Look Inside
  • Reference

This report describes the trans-anal extraction of colorectal cancer tissue. The anastomosis is performed laparoscopically using an ENDO-PSI(II) instrument, and the surgical wound is limited to the port slot. The sample is resected using an automatic suture device after the dissection and mobilization procedure. The anal side of the stumps adjacent to the anus is resected and opened, the sample is extracted trans-anally using an endoscope. An anvil head is simultaneously inserted into the abdominal cavity. After the opened intestinal incision is closed, purse string suture is placed in the oral side of the stumps, using an ENDO-PSI(II). The staple line is resected, and the anvil head is inserted into the rostral portion of the intestine. The automatic anastomosis device is inserted through the anus, and the anastomosis is performed using the double-stapling technique(DST). This procedure has been performed in 20cases between April 2012 and March 2015, and all cases had been accomplished. We believe that this procedure is a viable option for minimally invasive laparoscopic surgery.

Copyright © 2016, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.


電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会