Laparoscopic colorectal anastomosis technique without ‘‘dog ear’’ formation using LigaSure for bowel transection
- 14 Downloads
Nowadays, laparoscopic colorectal resection is gaining widespread popularity because it is associated with less blood loss, quicker recovery, and shorter hospitalization than open surgery as well as equivalent oncological benefits. In laparoscopic surgery, bowel transection and reconstruction are very important for oncological efficacy and surgical safety, especially avoidance of anastomotic leakage (AL). Although multiple factors such as total mesorectal excision (TME) surgery, low anastomosis, preoperative chemoradiation, advanced tumor stage, and multiple firings of the linear stapler are proven to increase the risk of postoperative AL, the technical aspect of colorectal transection and anastomosis is the dominant contributing factor .
Since the introduction of the double-stapled technique (DST) anastomosis described by Knight and Griffen, sphincter preservation is more feasible, and is, therefore, frequently used in laparoscopic rectal cancer surgery . However,...
This work was supported by the Science and Technology Support Program of the Science and Technology Department of Sichuan Province (Grant number: 2016SZ0043). We acknowledge Yan Yan (School of Life Sciences, Chinese University of Hong Kong), who helped prepare the video.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
The procedure of the study involving human participant was in accordance with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from each patient included in the study.
- 1.Park JS, Choi GS, Kim SH, Kim HR, Kim NK, Lee KY, Kang SB, Kim JY, Lee KY, Kim BC, Bae BN, Son GM, Lee SI, Kang H (2013) Multicenter analysis of risk factors for anastomotic leakage after laparoscopic rectal cancer excision: the Korean laparoscopic colorectal surgery study group. Ann Surg 257:665–671CrossRefGoogle Scholar
- 2.Knight CD, Griffen FD (1980) An improved technique for low anterior resection of the rectum using the EEA stapler. Surgery 88:710–714Google Scholar
- 6.Landman J, Kerbl K, Rehman J, Andreoni C, Humphrey PA, Collyer W, Olweny E, Sundaram C, Clayman RV (2003) Evaluation of a vessel sealing system, bipolar electrosurgery, harmonic scalpel, titanium clips, endoscopic gastrointestinal anastomosis vascular staples and sutures for arterial and venous ligation in a porcine model. J Urol 169:697–700CrossRefGoogle Scholar