Techniques for Laparoscopic Distal Rectal Stapled Transection
Distal rectal stapled transection can be challenging due to the narrow bony confines of the pelvis, adipose stores, and the technical limitations of staplers. Techniques to facilitate distal rectal stapled transection are discussed including fully mobilizing the rectum, utilizing upward pressure on the perineum, maximizing the abilities of current roticulating staplers, or placement of a nonroticulating stapler through a Pfannenstiel incision. Possession of a large armamentarium of tips and tricks as well as an understanding of what factors are associated with successful distal anastomosis will serve the surgeon performing rectal surgery well.
KeywordsDistal rectal transection Surgical stapling Low anterior resection Surgical technique