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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

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Related Experiment Video

Updated: May 18, 2026

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
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Published on: January 9, 2026

Transrectal specimen extraction after laparoscopic left colectomy: a case-matched study.

D Christoforidis1, D Clerc, N Demartines

  • 1Department of Visceral Surgery, CHUV, University of Lausanne, Lausanne, Switzerland. dimitri.christoforidis@eoc.ch

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
|October 4, 2012
PubMed
Summary
This summary is machine-generated.

Transrectal specimen extraction (TRSE) for left colectomy is feasible, offering a potential alternative to mini-laparotomy. Side-to-end anastomosis appears safer, though further studies are needed to compare TRSE with conventional laparoscopy.

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Published on: June 13, 2025

Area of Science:

  • Colorectal Surgery
  • Minimally Invasive Surgery
  • Surgical Techniques

Background:

  • Minimally invasive colectomy aims to reduce wound complications and improve patient recovery.
  • Conventional laparoscopic colectomy often requires a mini-laparotomy for specimen extraction, which can lead to surgical site issues.

Purpose of the Study:

  • To develop and evaluate a novel transrectal specimen extraction (TRSE) technique for left colectomy.
  • To compare the outcomes of TRSE with conventional laparoscopy (CL).

Main Methods:

  • TRSE involved laparoscopic closure of the recto-sigmoid junction and extraction of the specimen through the rectum using a circular stapler.
  • Eleven patients underwent TRSE for sigmoid or left colon resection.
  • Outcomes were compared to 20 matched patients who underwent CL.

Main Results:

  • The TRSE procedure was successful in 10 out of 11 patients.
  • No significant differences in operative time, recovery, or overall morbidity were observed between TRSE and CL groups.
  • Peri-anastomotic sepsis occurred in two patients with end-to-end anastomosis, but none with side-to-end anastomosis.

Conclusions:

  • Transrectal specimen extraction using a circular stapler technique is a feasible approach for left colectomy.
  • Side-to-end anastomosis is associated with a lower risk of peri-anastomotic sepsis compared to end-to-end anastomosis.
  • Further research is warranted to fully elucidate the benefits of TRSE over conventional laparoscopic colectomy.