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Published on: February 12, 2022
Endo-satinsky clamp for rectal transection during laparoscopic total mesorectal excision
Sun Jin Park1, Sung Il Choi, Suk Hwan Lee
1Department of Surgery, Kyung Hee University School of Medicine, Seoul, Korea.
Diseases of the Colon and Rectum
|February 23, 2010
Summary
This study introduces a new technique for intracorporeal rectal transection using an endo-Satinsky clamp during laparoscopic surgery. The method simplifies rectal transection and anastomosis for rectal cancer patients.
Area of Science:
- Colorectal Surgery
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- Laparoscopic total mesorectal excision (TME) is a standard procedure for rectal cancer.
- Intracorporeal rectal transection can be challenging during laparoscopic TME.
Purpose of the Study:
- To describe and evaluate a novel technique for intracorporeal rectal transection using an endo-Satinsky clamp.
- To assess the safety and feasibility of this technique in patients undergoing low anterior resection for rectal cancer.
Main Methods:
- A laparoscopic approach utilizing 5 trocars was employed.
- The endo-Satinsky clamp was inserted through a flexible trocar to grasp the rectum.
- An endostapler was introduced through a suprapubic port for rectal transection.
- Intracorporeal anastomosis was completed using a double-stapling technique.
Main Results:
- The technique was successfully applied in 11 patients (10 laparoscopic, 1 robot-assisted) between February 2007 and March 2009.
- No operative complications or deaths were recorded.
- The mean operation time was 179.5 minutes, with an average of 1.6 stapler cartridges used per patient.
Conclusions:
- The endo-Satinsky clamp is a valuable tool for facilitating intracorporeal rectal transection during laparoscopic TME.
- This technique simplifies the placement of the endostapler and allows for more precise rectal transection.
- The method proved safe and effective in a small cohort of rectal cancer patients.
