Left-Sided Ileostomy at Specimen Extraction Site in Laparoscopic-Assisted Low Anterior Resection for Rectal Cancer

2013 ◽  
Vol 23 (1) ◽  
pp. 22-25 ◽  
Author(s):  
Sang Bum Yoo ◽  
Seung-Yong Jeong ◽  
Seok-Byung Lim ◽  
Ji Won Park ◽  
Hyo Seong Choi ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Specimen Extraction ◽  
Extraction Site ◽  
Laparoscopic Assisted

scholarly journals Low Anterior Resection of Rectal Cancer and Vaginal Specimen Extraction with Da Vinci Xi

2018 ◽  
Author(s):  
Tuğrul Çakır ◽  
Arif Aslaner
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Da Vinci ◽  
Loop Ileostomy ◽  
Colorectal Anastomosis ◽  
Operation Time ◽  
Da Vinci Xi ◽  
Specimen Extraction ◽  
First Case

Introduction: Novel robotic surgery systems (da Vinci Xi) are superior to classical open and laparoscopic techniques with its clear and three-dimensional view. We aimed to present the first case low anterior resection of rectal cancer and vaginal specimen extraction with Da Vinci Xi.Case: A 75-year-old female patient with rectum adenocarcinoma was undergone robotic-assisted low anterior resection (LAR) of the rectum, vaginal removal of the specimen, colorectal anastomosis and loop ileostomy. The operation time was 190 minutes. There were no postoperative complications. Pathological tumor stage was stage pT1N0 with negative proximal, distal and radial resection margins. The patient was discharged on the third postoperative day.Conclusion: Robot-assisted LAR, total mesorectal excision, vaginal removal of the specimen, colorectal anastomosis, and loop ileostomy can be performed easily and safely with Da Vinci Xi at early stage rectal cancer. And the vaginal extraction of the specimen avoids us from a traditional abdominal incision.

scholarly journals The Use of a Circular Side Stapling Technique in Laparoscopic Low Anterior Resection for Rectal Cancer: Experience of 30 Serial Cases

2015 ◽  
Vol 100 (6) ◽  
pp. 979-983 ◽  
Author(s):  
Eiji Oki ◽  
Koji Ando ◽  
Hiroshi Saeki ◽  
Yuichiro Nakashima ◽  
Yasue Kimura ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Operating Time ◽  
Colorectal Anastomosis ◽  
Rectal Surgery ◽  
Linear Stapler ◽  
Stapling Technique ◽  
Double Stapling ◽  
Laparoscopic Assisted

The double-stapling technique using a circular stapler (CS) to create an end-to-end anastomosis is currently used widely in laparoscopic-assisted rectal surgery. However, a high rate of anastomotic failure has been reported. We report new side-to-side anastomosis creation using a CS, the so-called circular side stapling technique (CST). After excising the rectum at the oral and anal sides of the tumor with a linear stapler, a side-to-side colorectal anastomosis was made on the anterior wall of the rectosigmoid colon and the anterior or posterior wall of the rectum with a CS. Between 2012 and 2013, we recorded 30 serial cases of rectal-sigmoid or rectal cancer that were treated with laparoscopic-assisted surgeries using this method. In the 30 cases, the mean age was 68 ± 12 years, operating time was 288 ± 80 minutes, and blood loss was 66 ± 67 mL. None of the patients suffered from anastomosis leakage or postoperative anastomotic bleeding, and none complained of their stool habits. Three months after the last surgery in this cohort, no anastomosis strictures were reported. Based on these results, we propose an alternative method of side-to-side anastomosis for low anterior resection by using a CS to prevent staple overlap. Our experience indicates that the CST is easy and safe. Therefore, this method is a useful alternative to the current method used in laparoscopic surgery.

Application of a Temporary Ileostomy via Median Specimen Extraction Site in Laparoscopic Low Anterior Resection

2021 ◽  
Author(s):  
Ahao Wu ◽  
Bowen Wu ◽  
Xufeng Shu ◽  
Yi Cao ◽  
Qingwen Zeng ◽  
...  
Keyword(s):  
Blood Loss ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Postoperative Hospital Stay ◽  
Lower Abdomen ◽  
Specimen Extraction ◽  
Laparoscopic Low Anterior Resection ◽  
Extraction Site ◽  
Ileostomy Reversal ◽  
Temporary Ileostomy

Abstract Objective: To evaluate the feasibility and safety of temporary ileostomy via median specimen extraction site in the lower abdomen. Methods: Twenty-two patients who underwent laparoscopic radical resection for rectal cancer and needed temporary ileostomy were prospectively enrolled. Temporary ileostomy was placed on the median specimen extraction site of the lower abdomen. Intraoperative and postoperative conditions, stoma-related complications and ileostomy reversal surgery were observed. d. Results: Among the 22 patients, there were 14 female patients and 8 male patients: the average age was 56 ±14 years; the average body mass index was 22.0 ±3.4 kg/m2; the average tumour size was 4.4 ±2.2 cm; the average distance between the tumour and the dentate line was 5.9 ±2.3 cm; the average time of laparoscopic low anterior resection was 221 ±56 minutes; the average blood loss was 168 ±91 ml; and the average postoperative hospital stay was 9.9 ±3.9 days. The average ileostomy reversal surgery time was 72 ±15 minutes, the average blood loss was 50 ±27 ml, and the average postoperative hospital stay was 5.9 ±1.0 days. Stoma-related complications occurred in 5 patients, of which one was treated by emergency surgery. Conclusion: In laparoscopic low anterior resection, patients with temporary ileostomy via the median specimen extraction site did not have serious complications that required surgical intervention during hospitalization, and there was no mortality during the perioperative period. It is safe and feasible to perform temporary ileostomies via the median specimen extraction site in the lower abdomen, but for permanent ileostomies, the median site in the lower abdomen should be carefully selected as the ileostomy site.

Totally-laparoscopic versus laparoscopic-assisted low anterior resection for rectal cancer: are outcomes different?

2018 ◽  
Vol 88 (12) ◽  
pp. E818-E823 ◽  
Author(s):  
Jia Lin Ng ◽  
Jiunn Herng Lai ◽  
Hui Hua Li ◽  
Enjiu Pauleon Tan ◽  
Choong Leong Tang
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Laparoscopic Assisted ◽  
Totally Laparoscopic
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