Article

[Total laparoscopic sigmoid and rectal surgery combined with transanal endoscopic microsurgery].

Department of Surgery, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Zhonghua wei chang wai ke za zhi = Chinese journal of gastrointestinal surgery 05/2012; 15(5):499-501. pp.499-501
Source: PubMed

ABSTRACT To investigate the feasibility and short-term outcomes of total laparoscopic sigmoid and rectal surgery combined with transanal endoscopic microsurgery(TEM).
The clinical data of 26 patients with colorectal carcinoma treated by total laparoscopic surgery with TEM between May 2010 and May 2011 in the Shanghai Ruijin Hospital were retrospectively analyzed.
All the 26 operations were successfully accomplished laparoscopically. There was no conversion to open procedure. No diverting ileostomy was made. The mean operative time was (151.6±25.9) min. The mean blood loss was (200.2±114.7) ml. The mean time to first flatus was (2.0±0.5) d. The mean tumor size was (3.0±0.7) cm and all resection margins were negative. The mean number of lymph nodes harvested was (12.9±2.2). Six patients developed postoperative anastomotic leakage, all of who had tumors in the lower rectum. There were no ureteral injury, intestinal obstruction, or pulmonary infection.
Total laparoscopic sigmoid and rectal surgery combined with TEM is a safe and feasible minimally invasive surgery. It is an improvement by combining laparoscopic skills with the concept of natural orifice transluminal endoscopic surgery.

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Keywords

26 operations
 
26 patients
 
colorectal carcinoma
 
feasible minimally invasive surgery
 
laparoscopic skills
 
laparoscopically
 
lower rectum
 
lymph nodes
 
mean blood loss
 
natural orifice transluminal endoscopic surgery
 
pulmonary infection
 
rectal surgery
 
resection margins
 
short-term outcomes
 
total laparoscopic sigmoid
 
total laparoscopic surgery
 
transanal endoscopic microsurgery(TEM)
 
ureteral injury
 

Yi Han