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Surgical Endoscopy

Published in:

01-02-2013

Total laparoscopic sigmoid and rectal surgery in combination with transanal endoscopic microsurgery: a preliminary evaluation in China

Authors: Yi Han, Yong-Gang He, Hao-Bo Zhang, Ke-Zhi Lv, Ya-Jie Zhang, Mou-Bin Lin, Lu Yin

Published in: Surgical Endoscopy | Issue 2/2013

Abstract

Background

This study was designed to evaluate the feasibility and safety of total laparoscopic sigmoid and rectal surgery without abdominal incision in combination with transanal endoscopic microsurgery (TEM).

Methods

From May 2010 to October 2011, 34 patients with colon and rectal tumors were treated by total laparoscopic surgery without abdominal incision, and the clinical data of these patients were reviewed.

Results

All operations could be successfully accomplished without conversion to open surgery. No diverting ileostomy was created. The average operative time was 151.60 (range, 125–185) minutes. The average blood loss was 200.20 (range, 55–450) ml. All resection margins were negative. Six patients developed postoperative anastomotic leakage. There were no reports of other complications in all patients.

Conclusions

This preliminary study indicated that total laparoscopic sigmoid and rectal surgery in combination with TEM was a safe, feasible, and minimally invasive technique. This advanced surgical technique was developed by combining laparoscopy with the concept of natural orifice transluminal endoscopic surgery.

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Title: Total laparoscopic sigmoid and rectal surgery in combination with transanal endoscopic microsurgery: a preliminary evaluation in China
Authors: Yi Han
Yong-Gang He
Hao-Bo Zhang
Ke-Zhi Lv
Ya-Jie Zhang
Mou-Bin Lin
Lu Yin
Publication date: 01-02-2013
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 2/2013
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-012-2471-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Total laparoscopic sigmoid and rectal surgery in combination with transanal endoscopic microsurgery: a preliminary evaluation in China

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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