Totally laparoscopic colectomy with intracorporeal anastomosis achieved using a laparoscopic linear stapler : experience of a single institute
Totally laparoscopic colectomy with intracorporeal anastomosis achieved using a laparoscopic linear stapler : experience of a single institute
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使用腹腔镜线性吻合器完成全腹腔镜结肠切除术和体内吻合术：单个机构的经验
DOI：
10.1007/s00595-011-0003-x
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发表时间：
2011
期刊：
影响因子：
2.5
通讯作者：
et al
中科院分区：
文献类型：
--
作者：
Ikeda T.;et al
目的腹腔镜结肠手术已被广泛接受。我们评估的安全性和有效性，使用一个总的腔内手术策略进行腔内功能端到端吻合内镜直线吻合器治疗colonecancer.MethodsForty三个选定的患者进行了择期腹腔镜结肠切除术的癌症。在所有患者中进行了全结肠切除术，使用功能性端到端吻合与内镜直线staple.ResultsGood结果在所有43例患者中，没有人需要转换为开放手术与体外吻合。有没有术中并发症相关的这项技术，没有术后吻合口瘘，腹腔内脓肿，或伤口infection.ConclusionIntracardial功能端端吻合使用直线型吻合器的情况下，可以安全，容易地进行结肠的任何部分的切除。我们认为这是一种有效的方式完全腹腔镜结肠切除术。这种方法已经取得了良好的效果，特别是对于小肿瘤，因为自然腔道经腔内镜手术仍然是一种具有挑战性的方法来执行。
PurposeLaparoscopic colonic surgery is now widely accepted. We assessed the safety and effectiveness of using a total intracorporeal surgical strategy to perform intracorporeal functional end-to-end anastomosis with an endoscopic linear stapler to treat colon cancer.MethodsForty-three selected patients underwent elective laparoscopic colon resection for carcinoma. A total intracorporeal colon resection was performed in all patients, using a functional end-to-end anastomosis with an endoscopic linear stapler.ResultsGood results were achieved in all 43 patients, none of whom required conversion to open surgery with extracorporeal anastomosis. There have been no intraoperative complications related to this technique and no instances of postoperative anastomotic leakage, intra-abdominal abscess, or wound infection.ConclusionIntracorporeal functional end-to-end anastomosis using a linear stapler can be performed safely and easily for the resection of any part of the colon. We consider it an effective modality for totally laparoscopic colon resection. Favorable results have been achieved by this method, particularly for small tumors, since natural-orifice transluminal endoscopic surgery remains a challenging method to perform.