A case of total laparoscopic sigmoidectomy involving the use of needle forceps and transanal specimen extraction for sigmoid colon cancer.
A case of total laparoscopic sigmoidectomy involving the use of needle forceps and transanal specimen extraction for sigmoid colon cancer.
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DOI：
10.4103/jmas.jmas_110_17
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发表时间：
2018-01
影响因子：
0.8
通讯作者：
Tomiki Y
中科院分区：
文献类型：
--
作者：
Takahashi R;Sakamoto K;Ro H;Kure K;Kawai M;Ishiyama S;Sugimoto K;Kojima Y;Okuzawa A;Tomiki Y
一位76岁男性因乙状结肠T1期肿瘤接受内窥镜黏膜切除术。使用针镜器械，经5个口行腹腔镜乙状结肠切除术。切除标本经肛门取自腹膜腔。在乙状结肠残端装上钉子后，用内窥镜直线吻合器将直肠残端再次缝合，然后用双吻合器进行结直肠吻合术。使用针镜钳子进行经肛门标本提取可改善美容效果，减少术后疼痛和腹壁切开疝气的风险。这种方法是一种容易引入的减少端口的手术形式，因为它的可行性和传统的端口安排。因此，我们认为这是一种微创手术的选择。
A 76-year-old male underwent endoscopic mucosal resection for a stage T1 tumour of the sigmoid colon. We performed laparoscopic sigmoidectomy through 5 ports using needlescopic instruments. The resected specimen was extracted from the abdominal cavity transanally. After attaching an anvil to the sigmoidal stump, the rectal stump was reclosed using an endoscopic linear stapler, and then, colorectal anastomosis was conducted using the double stapling technique. Performing transanal specimen extraction using needlescopic forceps improves aesthetic outcomes and reduces post-operative pain and the risk of abdominal incisional hernias. This method is an easy to introduce a form of reduced-port surgery because of its feasibility and conventional port arrangement. Hence, we consider that it is an option for minimally invasive surgery.