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Published in: Surgery Today 1/2012

01-01-2012 | Original Article

Totally laparoscopic colectomy with intracorporeal anastomosis achieved using a laparoscopic linear stapler: experience of a single institute

Authors: Tetsuo Ikeda, Akira Kabasima, Naoyuki Ueda, Yusuke Yonemura, Mizuki Ninomiya, Mako Nogami, Kyuzo Fujii, Kojiro Mashino, Hideya Tashiro, Hisanobu Sakata

Published in: Surgery Today | Issue 1/2012

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Abstract

Purpose

Laparoscopic 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.

Methods

Forty-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.

Results

Good 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.

Conclusion

Intracorporeal 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.
Literature
1.
go back to reference Guillou PJ, Quirke P, Thorpe H, Walker J, Jayne DG, Smith AM, et al. Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial. Lancet. 2005;365(9472):1718–26.PubMedCrossRef Guillou PJ, Quirke P, Thorpe H, Walker J, Jayne DG, Smith AM, et al. Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial. Lancet. 2005;365(9472):1718–26.PubMedCrossRef
2.
go back to reference Weeks JC, Nelson H, Gelber S, Sargent D, Schroeder G. Short-term quality-of-life outcomes following laparoscopic-assisted colectomy vs open colectomy for colon cancer: a randomized trial. JAMA. 2002;287:321–8.PubMedCrossRef Weeks JC, Nelson H, Gelber S, Sargent D, Schroeder G. Short-term quality-of-life outcomes following laparoscopic-assisted colectomy vs open colectomy for colon cancer: a randomized trial. JAMA. 2002;287:321–8.PubMedCrossRef
3.
go back to reference Yamamoto S, Watanabe M, Hasegawa H, Kitajima M. Oncologic outcome of laparoscopic versus open surgery for advanced colorectal cancer. Hepatogastroenterology. 2001;48:1248–51.PubMed Yamamoto S, Watanabe M, Hasegawa H, Kitajima M. Oncologic outcome of laparoscopic versus open surgery for advanced colorectal cancer. Hepatogastroenterology. 2001;48:1248–51.PubMed
4.
go back to reference Guller U, Jain N, Hervey S, Purves H, Pietrobon R. Laparoscopic vs open colectomy: outcomes comparison based on large nationwide databases. Arch Surg. 2003;138:1179–86.PubMedCrossRef Guller U, Jain N, Hervey S, Purves H, Pietrobon R. Laparoscopic vs open colectomy: outcomes comparison based on large nationwide databases. Arch Surg. 2003;138:1179–86.PubMedCrossRef
5.
go back to reference Reza MM, Blasco JA, Andradas E, Cantero R, Mayol J. Systematic review of laparoscopic versus open surgery for colorectal cancer. Br J Surg. 2006;93(8):921–8.PubMedCrossRef Reza MM, Blasco JA, Andradas E, Cantero R, Mayol J. Systematic review of laparoscopic versus open surgery for colorectal cancer. Br J Surg. 2006;93(8):921–8.PubMedCrossRef
6.
go back to reference Clinical Outcomes of Surgical Therapy Study Group. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med 2004;350(20):2050–59. Clinical Outcomes of Surgical Therapy Study Group. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med 2004;350(20):2050–59.
7.
go back to reference Nakamura T, Onozato W, Mitomi H, Naito M, Sato T, Ozawa H, et al. Retrospective, matched case–control study comparing the oncologic outcomes between laparoscopic surgery and open surgery in patients with right-sided colon cancer. Surg Today. 2009;39(12):1040–5.PubMedCrossRef Nakamura T, Onozato W, Mitomi H, Naito M, Sato T, Ozawa H, et al. Retrospective, matched case–control study comparing the oncologic outcomes between laparoscopic surgery and open surgery in patients with right-sided colon cancer. Surg Today. 2009;39(12):1040–5.PubMedCrossRef
8.
go back to reference Everett WG, Greatorex RA. Colonic anastomosis-suture or staple? Trop Gastroenterol. 1987;8:195–203.PubMed Everett WG, Greatorex RA. Colonic anastomosis-suture or staple? Trop Gastroenterol. 1987;8:195–203.PubMed
9.
go back to reference Kracht M, Hay JM, Fagniez PL, Fingerhut A. Ileocolonic anastomosis after right hemicolectomy for carcinoma: stapled or hand-sewn? A prospective, multicenter, randomized trial. Int J Colorectal Dis. 1993;8:29–33.PubMedCrossRef Kracht M, Hay JM, Fagniez PL, Fingerhut A. Ileocolonic anastomosis after right hemicolectomy for carcinoma: stapled or hand-sewn? A prospective, multicenter, randomized trial. Int J Colorectal Dis. 1993;8:29–33.PubMedCrossRef
10.
go back to reference Darzi A, Super P, Guillou PJ, Monson JR. Laparoscopic sigmoid colectomy: total laparoscopic approach. Dis Colon Rectum. 1994;37:268–71.PubMedCrossRef Darzi A, Super P, Guillou PJ, Monson JR. Laparoscopic sigmoid colectomy: total laparoscopic approach. Dis Colon Rectum. 1994;37:268–71.PubMedCrossRef
11.
go back to reference Hellan M, Anderson C, Pigazzi A. Extracorporeal versus intracorporeal anastomosis for laparoscopic right hemicolectomy. JSLS. 2009;13(3):312–7.PubMed Hellan M, Anderson C, Pigazzi A. Extracorporeal versus intracorporeal anastomosis for laparoscopic right hemicolectomy. JSLS. 2009;13(3):312–7.PubMed
12.
go back to reference Bucher P, Wutrich P, Pugin F, Gonzales M, Gervaz P, Morel P. Totally intracorporeal laparoscopic colorectal anastomosis using circular stapler. Surg Endosc. 2008;22(5):1278–82.PubMedCrossRef Bucher P, Wutrich P, Pugin F, Gonzales M, Gervaz P, Morel P. Totally intracorporeal laparoscopic colorectal anastomosis using circular stapler. Surg Endosc. 2008;22(5):1278–82.PubMedCrossRef
13.
go back to reference Akamatsu H, Omori T, Oyama T, Tori M, Ueshima S, Nakahara M, et al. Totally laparoscopic sigmoid colectomy: a simple and safe technique for intracorporeal anastomosis. Surg Endosc. 2009;23(11):2805–9.CrossRef Akamatsu H, Omori T, Oyama T, Tori M, Ueshima S, Nakahara M, et al. Totally laparoscopic sigmoid colectomy: a simple and safe technique for intracorporeal anastomosis. Surg Endosc. 2009;23(11):2805–9.CrossRef
14.
go back to reference Ikeda O, Sakaguchi Y, Aoki Y, Harimoto N, Taomoto J, Masuda T, et al. Advantages of totally laparoscopic distal gastrectomy over laparoscopically assisted distal gastrectomy for gastric cancer. Surg Endosc. 2009;23(10):2374–9.PubMedCrossRef Ikeda O, Sakaguchi Y, Aoki Y, Harimoto N, Taomoto J, Masuda T, et al. Advantages of totally laparoscopic distal gastrectomy over laparoscopically assisted distal gastrectomy for gastric cancer. Surg Endosc. 2009;23(10):2374–9.PubMedCrossRef
15.
go back to reference McKenzie S, Baek JH, Wakabayashi M, Garcia-Aguilar J, Pigazzi A. Totally laparoscopic right colectomy with transvaginal specimen extraction: the authors’ initial institutional experience. Surg Endosc. 2010;24(8):2048–52.PubMedCrossRef McKenzie S, Baek JH, Wakabayashi M, Garcia-Aguilar J, Pigazzi A. Totally laparoscopic right colectomy with transvaginal specimen extraction: the authors’ initial institutional experience. Surg Endosc. 2010;24(8):2048–52.PubMedCrossRef
16.
go back to reference Gumbs AA, Fowler D, Milone L, Evanko JC, Ude AO, Stevens P, et al. Transvaginal natural orifice transluminal endoscopic surgery cholecystectomy: early evolution of the technique. Ann Surg. 2009;249(6):908–12.PubMedCrossRef Gumbs AA, Fowler D, Milone L, Evanko JC, Ude AO, Stevens P, et al. Transvaginal natural orifice transluminal endoscopic surgery cholecystectomy: early evolution of the technique. Ann Surg. 2009;249(6):908–12.PubMedCrossRef
17.
go back to reference Song S, Itawi EA, Saber AA. Natural orifice transluminal endoscopic surgery (NOTES). J Invest Surg. 2009;22(3):214–7.PubMedCrossRef Song S, Itawi EA, Saber AA. Natural orifice transluminal endoscopic surgery (NOTES). J Invest Surg. 2009;22(3):214–7.PubMedCrossRef
18.
go back to reference Milsom JW, Bohm B, Hammerhofer KA, Fazio V, Steiger E, Elson P. A prospective, randomized trial comparing laparoscopic versus conventional techniques in colorectal cancer surgery: a preliminary report. J Am Coll Surg. 1998;187:46–54 (discussion 54–5). Milsom JW, Bohm B, Hammerhofer KA, Fazio V, Steiger E, Elson P. A prospective, randomized trial comparing laparoscopic versus conventional techniques in colorectal cancer surgery: a preliminary report. J Am Coll Surg. 1998;187:46–54 (discussion 54–5).
19.
go back to reference Grams J, Tong W, Greenstein AJ, Salky B. Comparison of intracorporeal versus extracorporeal anastomosis in laparoscopic-assisted hemicolectomy. Surg Endosc. 2010;24(8):1886–91.PubMedCrossRef Grams J, Tong W, Greenstein AJ, Salky B. Comparison of intracorporeal versus extracorporeal anastomosis in laparoscopic-assisted hemicolectomy. Surg Endosc. 2010;24(8):1886–91.PubMedCrossRef
20.
go back to reference Park S, Chun HJ, Keum B, Seo YS, Jeen YT, Um SH, et al. Successful hybrid NOTES resection of early gastric cancer in a patient with concomitant advanced colon cancer. Endoscopy. 2010;42(Suppl 2):E1–2.PubMedCrossRef Park S, Chun HJ, Keum B, Seo YS, Jeen YT, Um SH, et al. Successful hybrid NOTES resection of early gastric cancer in a patient with concomitant advanced colon cancer. Endoscopy. 2010;42(Suppl 2):E1–2.PubMedCrossRef
21.
go back to reference Auyang ED, Vaziri K, Volckmann E, Martin JA, Soper NJ, Hungness ES. NOTES: cadaveric rendezvous hybrid small bowel resection. Surg Endosc. 2008;22(10):2277–8.PubMedCrossRef Auyang ED, Vaziri K, Volckmann E, Martin JA, Soper NJ, Hungness ES. NOTES: cadaveric rendezvous hybrid small bowel resection. Surg Endosc. 2008;22(10):2277–8.PubMedCrossRef
22.
go back to reference Flora ED, Wilson TG, Martin IJ, O’Rourke NA, Maddern GJ. A review of natural orifice transluminal endoscopic surgery (NOTES) for intra-abdominal surgery: experimental models, techniques, and applicability to the clinical setting. Ann Surg. 2008;247(4):583–602.PubMedCrossRef Flora ED, Wilson TG, Martin IJ, O’Rourke NA, Maddern GJ. A review of natural orifice transluminal endoscopic surgery (NOTES) for intra-abdominal surgery: experimental models, techniques, and applicability to the clinical setting. Ann Surg. 2008;247(4):583–602.PubMedCrossRef
Metadata
Title
Totally laparoscopic colectomy with intracorporeal anastomosis achieved using a laparoscopic linear stapler: experience of a single institute
Authors
Tetsuo Ikeda
Akira Kabasima
Naoyuki Ueda
Yusuke Yonemura
Mizuki Ninomiya
Mako Nogami
Kyuzo Fujii
Kojiro Mashino
Hideya Tashiro
Hisanobu Sakata
Publication date
01-01-2012
Publisher
Springer Japan
Published in
Surgery Today / Issue 1/2012
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-011-0003-x

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