Totally Laparoscopic Low Anterior Resection for Lower Rectal Cancer: Combination of a New Technique for Intracorporeal Anastomosis with Prolapsing Technique

2009 ◽  
Vol 26 (6) ◽  
pp. 446-450 ◽  
Author(s):  
Hiroki Akamatsu ◽  
Takeshi Omori ◽  
Tsukasa Oyama ◽  
Masayuki Tori ◽  
Shigeyuki Ueshima ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Intracorporeal Anastomosis ◽  
New Technique ◽  
Lower Rectal Cancer ◽  
Laparoscopic Low Anterior Resection ◽  
A New Technique ◽  
Totally Laparoscopic

scholarly journals Transanal Anastomosis Method and Prolapsing Technique in Totally Laparoscopic Low Anterior Resection for Lower Rectal Cancer

2021 ◽  
Vol 105 (1-3) ◽  
pp. 21-25
Author(s):  
Takuya Shiraishi ◽  
Naoki Tomizawa ◽  
Tatsumasa Andoh ◽  
Takuhisa Okada ◽  
Naoya Ozawa
Keyword(s):  
Laparoscopic Surgery ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Abdominal Cavity ◽  
Intracorporeal Anastomosis ◽  
Lower Rectal Cancer ◽  
Abdominal Incision ◽  
Laparoscopic Low Anterior Resection ◽  
Double Stapling ◽  
Totally Laparoscopic

There are some reports of totally laparoscopic surgery performed by intracorporeal anastomosis without abdominal incision. However, intracorporeal anastomosis with prolapsing technique is difficult and complicated via laparoscopic surgery alone. We found it easier to achieve totally laparoscopic low anterior resection (LAR) by anastomosis anally. Our procedure was performed in 32 patients. After the prolapsed rectum with the tumor was transected, reconstruction was performed by using a double-stapling technique (DST) or a hand-sewn technique (HST). In the DST, the proximal colon was pulled outside transanally, and the anvil head was inserted into the colon and returned to the abdominal cavity. The anal-side rectum was closed using a linear stapling device, and DST was performed. The HST was modified from intersphincteric resection anastomosis. No patient experienced complications associated with this procedure. Cosmetic satisfaction was achieved. All patients obtained disease-free margins pathologically, and none experienced local recurrence. Intracorporeal anastomosis of totally laparoscopic low anterior resection is difficult via laparoscopic ports only. It can be simplified by operating with anastomosis via the anus.

scholarly journals Laparoscopic low anterior resection for rectal cancer with rectal prolapse: a case report

2018 ◽  
Vol 12 (1) ◽  
Author(s):  
Ryusei Yamamoto ◽  
Yasuji Mokuno ◽  
Hideo Matsubara ◽  
Hirokazu Kaneko ◽  
Shinsuke Iyomasa
Keyword(s):  
Rectal Cancer ◽  
Case Report ◽  
Rectal Prolapse ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Laparoscopic Low Anterior Resection

Intra‐abdominal desmoid tumor after laparoscopic low anterior resection for rectal cancer: A case report

2019 ◽  
Vol 13 (3) ◽  
pp. 426-430
Author(s):  
Ryo Maemoto ◽  
Yasuyuki Miyakura ◽  
Sawako Tamaki ◽  
Jun Takahashi ◽  
Noriya Takayama ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Case Report ◽  
Anterior Resection ◽  
Desmoid Tumor ◽  
Low Anterior Resection ◽  
Laparoscopic Low Anterior Resection ◽  
Abdominal Desmoid Tumor

Laparoscopic low anterior resection for rectal cancer after Whitehead's hemorrhoidectomy: A case report

2017 ◽  
Vol 11 (1) ◽  
pp. 60-63
Author(s):  
Yoshihiro Takemoto ◽  
Eijiro Harada ◽  
Yuriko Takeuchi ◽  
Daichi Kawamura ◽  
Yuuki Suehiro ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Case Report ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Laparoscopic Low Anterior Resection
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