Despite the growing acceptance of laparoscopic colon surgery, an abdominal incision is needed to remove the specimen and perform an anastomosis.
Five trocars (one 12 mm and four 5 mm) were used. The video describes the technique of performing laparoscopic subtotal colectomy, laparoscopic cholecystectomy, transrectal removal of the gallbladder and the entire colon, and intracorporeal stapled ileorectal anastomosis in a 27-year-old female with colonic inertia and biliary dyskinesia.
There were no intraoperative complications. The operating time was 180 min. Blood loss was 10 cc. The patient was discharged home on postoperative day 4.
Laparoscopic subtotal colectomy with transrectal removal of the colon is a safe and effective procedure that can be added to the armamentarium of surgeons performing laparoscopic colon surgery. This technique may provide both an attractive way to reduce abdominal wall morbidity and a bridge to NOTES colon surgery.
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Ziad T. Awad confirms that he has no conflicts of interest or financial ties to disclose.
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Awad, Z.T. Laparoscopic subtotal colectomy with transrectal extraction of the colon and ileorectal anastomosis. Surg Endosc 26, 869–871 (2012) doi:10.1007/s00464-011-1926-4
- Laparoscopic subtotal colectomy
- Colonic inertia
- Intracorporeal anastomosis
- Natural orifice surgery