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Dis Colon Rectum. 2009 Dec;52(12):2048-50. doi: 10.1007/DCR.0b013e3181b52fb7.

Colorectal anastomosis after laparoscopic low anterior resection with total mesorectal excision: a difficult problem made simple.

Author information

1
Division of Colorectal Surgery, Surgical Oncology Department, Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal. manuellimbert@netcabo.pt

Abstract

Laparoscopic anterior resection with total mesorectal excision for middle and lower third rectal cancer remains a difficult operation, in particular, in male patients with a narrow pelvis and bulky mesentery. In this type of patient, the available staplers do not allow an easy transection of the rectum close to the pelvic floor. A new approach that uses instruments (dilator, obturator, and pursestring anoscope) specifically designed for the technique of stapled hemorrhoidopexy and a common circular stapler can overcome all these issues.

PMID:
19934930
DOI:
10.1007/DCR.0b013e3181b52fb7
[Indexed for MEDLINE]

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