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Laparoscopic low anterior resection using a triple stapling technique.

H Idani1, M Narusue, H Kin

  • 1Department of Surgery, Fukuyama Municipal Hospital, Hiroshima, Japan.

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|June 29, 2000
PubMed
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This study demonstrates a safe and effective triple stapling technique for laparoscopic low anterior resection in rectal cancer patients. The procedure showed promising results with no recurrence observed during follow-up.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Rectal cancer treatment often involves low anterior resection.
  • Laparoscopic approaches offer potential benefits over open surgery.
  • Standardized techniques are crucial for successful laparoscopic rectal surgery.

Purpose of the Study:

  • To evaluate the safety and efficacy of a triple stapling technique for laparoscopic low anterior resection (LAR).
  • To assess the feasibility of this technique in patients with rectal cancers located 5-18 cm from the anal verge.

Main Methods:

  • A triple stapling technique was employed in five patients undergoing laparoscopic LAR for rectal cancer.
  • Key steps included distal rectal occlusion with Endo TA, transection with an endolinear stapler, and circular stapler anastomosis.

Related Experiment Videos

  • A 33-mm suprapubic port was utilized for enhanced maneuverability.

    • Main Results:

    • The mean operative time was 177 +/- 28.0 minutes.
    • Estimated blood loss averaged 41.7 +/- 28.6 g.
    • Flatus return occurred at a mean of 1.8 +/- 0.8 days post-surgery, with no local recurrence or distant metastasis reported during follow-up.

    Conclusions:

    • The triple stapling technique is a safe and useful method for laparoscopic low anterior resection.
    • This approach facilitates effective rectal cancer treatment with favorable short-term outcomes.