JOURNAL OF JAPAN SOCIETY FOR ENDOSCOPIC SURGERY Volume 24, Issue 1 (January 2019)
Japanese

Two cases of laparoscopic colostomy closure with double stapling technique anastomosis using transanal inserted anvil delivery system (OrVilTM Hiroto TAKAYAMA 1 , Keiji MATSUSHITA 1 , Ryo SHIMADA 1 , Yuji UCHIKAWA 1 , Shiori YAMAZAKI 1 1Department of Surgery, Azumino Red Cross Hospital Keyword: DST , double stapling technique , 腹腔鏡下手術 , OrVilTM pp.87-92
Published Date 2019/1/15
DOI https://doi.org/10.11477/mf.4426200670
  • Abstract
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 The double stapling technique (DST) anastomosis has been accepted as the standard technique for rectal surgery. However, when the distance from the anus to the rectal stump is long, we often experience cases where it is difficult to insert the circular stapler. In laparotomy, when DST anastomosis cannot be performed, it is possible to change to another method such as hand-sewn anastomosis. In laparoscopic surgery, however, especially in obese patients with thick abdominal wall, it is not easy to conduct extra-corporeal anastomosis through minilaparotomy incision. If we cannot extract remnant sigmoid colon or rectum through minilaparotomy incision, mobilization of the splenic flexure may be required or we may have to expand the minilaparotomy incision for extra-corporeal anastomosis. Two patients underwent laparoscopic colostomy closure with side-to-end DST anastomosis using transanal inserted anvil delivery system (OrVilTM). This procedure is one of the useful options for DST anastomosis after laparoscopic sigmoidectomy or anterior resection in cases where insertion of circular stapler is difficult due to long remnant rectum and extra-corporeal anastomosis through minilaparotomy incision is difficult.


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基本情報

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日本内視鏡外科学会雑誌
24巻1号 (2019年1月)
電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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