A case of total laparoscopic sigmoidectomy involving the use of needle forceps and transanal specimen extraction for sigmoid colon cancer

被引:1
作者
Takahashi, Rina [1 ]
Sakamoto, Kazuhiro [1 ]
Ro, Hisashi [1 ]
Kure, Kazumasa [1 ]
Kawai, Masaya [1 ]
Ishiyama, Shun [1 ]
Sugimoto, Kiichi [1 ]
Kojima, Yutaka [1 ]
Okuzawa, Atsushi [1 ]
Tomiki, Yuichi [1 ]
机构
[1] Juntendo Univ, Dept Coloproctol Surg, Fac Med, Tokyo, Japan
基金
日本学术振兴会;
关键词
Colorectal cancer; needle forceps; transanal specimen extraction; COLECTOMY;
D O I
10.4103/jmas.JMAS_110_17
中图分类号
R61 [外科手术学];
学科分类号
摘要
A 76-year-old male underwent endoscopic mucosal resection for a stage T1 tumour of the sigmoid colon. We performed laparoscopic sigmoidectomy through 5 ports using needlescopic instruments. The resected specimen was extracted from the abdominal cavity transanally. After attaching an anvil to the sigmoidal stump, the rectal stump was reclosed using an endoscopic linear stapler, and then, colorectal anastomosis was conducted using the double stapling technique. Performing transanal specimen extraction using needlescopic forceps improves aesthetic outcomes and reduces post-operative pain and the risk of abdominal incisional hernias. This method is an easy to introduce a form of reduced-port surgery because of its feasibility and conventional port arrangement. Hence, we consider that it is an option for minimally invasive surgery.
引用
收藏
页码:71 / 73
页数:3
相关论文
共 5 条
[1]   Natural orifice translumenal endoscopic surgery (NOTES®): a technical review [J].
Auyang, Edward D. ;
Santos, Byron F. ;
Enter, Daniel H. ;
Hungness, Eric S. ;
Soper, Nathaniel J. .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2011, 25 (10) :3135-3148
[2]   Single-Incision Versus Standard Multiport Laparoscopic Colectomy A Multicenter, Case-Controlled Comparison [J].
Champagne, Bradley J. ;
Papaconstantinou, Harry T. ;
Parmar, Stavan S. ;
Nagle, Deborah A. ;
Young-Fadok, Tonia M. ;
Lee, Edward C. ;
Delaney, Conor P. .
ANNALS OF SURGERY, 2012, 255 (01) :66-69
[3]   Totally laparoscopic sigmoid colectomy with transanal specimen extraction [J].
Nishimura, Atsushi ;
Kawahara, Mikako ;
Suda, Kazuyoshi ;
Makino, Shigeto ;
Kawachi, Yasuyuki ;
Nikkuni, Keiya .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2011, 25 (10) :3459-3463
[4]   Laparoscopic high anterior resection with natural orifice specimen extraction (NOSE) for early rectal cancer [J].
Ooi, B. S. ;
Quah, H. M. ;
Fu, C. W. P. ;
Eu, K. W. .
TECHNIQUES IN COLOPROCTOLOGY, 2009, 13 (01) :61-64
[5]   Laparoscopic intersphincteric resection using needlescopic instruments [J].
Sakamoto, Kazuhiro ;
Okazawa, Yu ;
Takahashi, Rina ;
Sugimoto, Kiichi ;
Komiyama, Hiromitsu ;
Takahashi, Makoto ;
Kojima, Yutaka ;
Goto, Michitoshi ;
Okuzawa, Atsushi ;
Tomiki, Yuichi .
JOURNAL OF MINIMAL ACCESS SURGERY, 2014, 10 (04) :221-224