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Transanal ileoproctostomy is feasible in human cadavers
L Polese1, E Lezoche, A Porzionato
1Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.
Summary
Transanal ileoproctostomy, a novel bypass technique, proved technically feasible in human cadavers. This minimally invasive approach may offer an alternative to traditional stoma formation for colonic obstruction.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- A transanal ileorectal bypass has been described in animal models.
- The need for alternative surgical approaches to colonic obstruction is ongoing.
Purpose of the Study:
- To assess the technical feasibility of a transanal ileorectal bypass in human cadavers.
- To evaluate the safety and efficacy of this novel surgical approach.
Main Methods:
- Utilized a transanal endoscopic microsurgery (TEM) device and endoscopic instruments.
- Performed rectostomy above the peritoneal reflection and peritoneoscopy.
- Delivered the small bowel through the proctostomy for anastomosis.
Main Results:
- Successful completion of the transanal ileoproctostomy in all four cadavers.
- Average procedure time of 90 minutes.
- Patent bypass and leakproof anastomosis between the ileum and rectum.
Conclusions:
- Transanal ileoproctostomy is technically feasible in human cadavers.
- This procedure presents a potential alternative to stoma formation for selected patients with colonic obstruction.
Keywords:
Natural Orifice Transluminal Endoscopic Surgerybypasstransanaltransanal endoscopic microsurgery
