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Surgical Endoscopy
Published in: Surgical Endoscopy 3/2012

01-03-2012 | Dynamic Manuscript

Laparoscopic subtotal colectomy with transrectal extraction of the colon and ileorectal anastomosis

Author: Ziad T. Awad

Published in: Surgical Endoscopy | Issue 3/2012

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Abstract

Background

Despite the growing acceptance of laparoscopic colon surgery, an abdominal incision is needed to remove the specimen and perform an anastomosis.

Methods

Five trocars (one 12 mm and four 5 mm) were used. The video describes the technique of performing laparoscopic subtotal colectomy, laparoscopic cholecystectomy, transrectal removal of the gallbladder and the entire colon, and intracorporeal stapled ileorectal anastomosis in a 27-year-old female with colonic inertia and biliary dyskinesia.

Results

There were no intraoperative complications. The operating time was 180 min. Blood loss was 10 cc. The patient was discharged home on postoperative day 4.

Conclusion

Laparoscopic subtotal colectomy with transrectal removal of the colon is a safe and effective procedure that can be added to the armamentarium of surgeons performing laparoscopic colon surgery. This technique may provide both an attractive way to reduce abdominal wall morbidity and a bridge to NOTES colon surgery.
Appendix
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Metadata
Title
Laparoscopic subtotal colectomy with transrectal extraction of the colon and ileorectal anastomosis
Author
Ziad T. Awad
Publication date
01-03-2012
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 3/2012
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-011-1926-4

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