Use of a linear stapler for urethral and dorsal vein complex transection during laparoscopic total pelvic exenteration in rectal cancer
Dorsal vein complex (DVC) and urethral transection during total pelvic exenteration (TPE) is time-consuming, technically challenging, and associated with a high rate of hemorrhage. Although laparoscopic surgery is associated with less intraoperative blood loss during TPE , it is still technically challenging to perform in DVC and urethral transection. Techniques for transecting the DVC during radical prostatectomy have been reported [2, 3, 4]. Concerning the surgical technique of TPE for rectal malignancy, only limited studies have described the technique used for DVC and urethral transection. Hayashi et al. reported that the urethra could be successfully transected using a linear stapler, but the DVC was not successfully transected . Techniques using a linear stapler for transection of the DVC and urethra have not been described.
We describe our simple technique for transecting the DVC and urethra easily and without significant bleeding during laparoscopic TPE in...
All authors contributed to this study and approved the final submitted version. AK and YN collected the data and wrote the manuscript.
This study was only funded by Takamatsu Hospital, Federation of National Public Service Personnel Mutual Aid Associations, Kagawa, Japan.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The study was approved by the institutional review board.
Informed consent was obtained from the patient for publication and presentation of this article and accompanying images.
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