Conclusion
We have described one method of approaching this procedure. The laparoscopic-assisted method combines the benefits of laparoscopic mobilization with the advantages of bowel division and reanastomosis under direct vision; the incision also allows a degree of flexibility in the most crucial area, allowing the available option of rectal dissection by laparotomy. The available data suggest that, in terms of histological parameters and early survival and recurrence, the laparoscopic procedure is comparable to laparotomy.5,6,8 The laparoscopic-assisted approach requires an incision of 7 to 10cm and therefore may not yield the benefits of minimally invasive surgery. However, the magnified views provide excellent visualization of the pelvic nerves and the potential for better postoperative functional outcome requires further prospective assessment.
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Mehigan, B.J., Hartley, J.E., Monson, J.R.T. (2004). Laparoscopic-Assisted Anterior Resection. In: MacFadyen, B.V., et al. Laparoscopic Surgery of the Abdomen. Springer, New York, NY. https://doi.org/10.1007/0-387-21780-0_42
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DOI: https://doi.org/10.1007/0-387-21780-0_42
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