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首页> 外文期刊>Surgical Endoscopy >Standardized technique of laparoscopic intracorporeal rectal transection and anastomosis for low anterior resection.
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Standardized technique of laparoscopic intracorporeal rectal transection and anastomosis for low anterior resection.

机译：低位前切除术的腹腔镜体内直肠横断吻合技术。

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BACKGROUND: Rectal transection and anastomosis at the lower rectum is the most challenging part of laparoscopic low anterior resection. Therefore, some have demonstrated that rectal transection should be performed using instruments for open surgery with small laparotomy. In our institute, however, rectal transection using a currently available endostapler followed by anastomosis with a double stapling technique is usually performed. METHODS: The important points of our technique are as follows: trocar placement, optimal device choice, harmonious movement between the operator and assistant for rectal transection, optimal point of piercing with the center rod of the circular stapler, and ideal positioning of the proximal colon. RESULTS: Seventy-eight patients underwent low anterior resection using this technique. There were no conversions to open surgery. All rectal transections were completed laparoscopically with an available endostapler. A diverting ileostomy was created in six cases. Anastomotic leakage occurred in only two patients (2.6%) and rectovaginal fistula in only one patient (1.3%). CONCLUSIONS: Our standardized technique is considered to be safe and feasible for rectal transection and anastomosis using the double stapling technique (DST).
机译：背景：直肠下段直肠切除和吻合术是腹腔镜低位前切除术最具挑战性的部分。因此，一些人证明应使用小腹腔镜开腹手术的器械进行直肠横切术。然而，在我们的研究所中，通常使用现有的内皮吻合器进行直肠横切术，然后采用双吻合技术进行吻合术。方法：我们技术的要点如下：套管针放置，最佳设备选择，操作员和助手之间的直肠横贯协调运动，圆形钉书机中心杆穿刺的最佳点以及近端结肠的理想定位。结果：78例患者接受了这种技术的低位前切除术。没有转换为开放手术。所有的直肠横断均在腹腔镜下用可用的内皮抑素完成。有6例发生了分流回肠造口术。仅两名患者（2.6％）发生吻合口漏，仅一名患者（1.3％）发生直肠阴道瘘。结论：我们的标准化技术被认为是安全和可行的直肠吻合和双吻合技术（DST）。

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