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

Surgery Today ◽  
2011 ◽  
Vol 42 (1) ◽  
pp. 41-45 ◽  
Author(s):  
Tetsuo Ikeda ◽  
Akira Kabasima ◽  
Naoyuki Ueda ◽  
Yusuke Yonemura ◽  
Mizuki Ninomiya ◽  
...  
Keyword(s):  
Laparoscopic Colectomy ◽  
Intracorporeal Anastomosis ◽  
Linear Stapler ◽  
Totally Laparoscopic

scholarly journals Long-term Oncological Outcomes of Totally Laparoscopic Colectomy With Intracorporeal Anastomosis for Colon Cancer: Propensity Score Matching Analysis

2021 ◽  
Author(s):  
Hiroki Hamamoto ◽  
Junji Okuda ◽  
Yusuke Suzuki ◽  
Keisuke Izuhara ◽  
Masatsugu Ishii ◽  
...  
Keyword(s):  
Propensity Score ◽  
Propensity Score Matching ◽  
Laparoscopic Colectomy ◽  
Disease Free Survival ◽  
Intracorporeal Anastomosis ◽  
Propensity Score Matching Analysis ◽  
Oncological Outcomes ◽  
Colon Cancers ◽  
Totally Laparoscopic

Abstract Background: This retrospective study aimed to compare long-term oncological outcomes between laparoscopic-assisted colectomy (LAC) with extracorporeal anastomosis (EA) and totally laparoscopic colectomy (TLC) with intracorporeal anastomosis (IA) for colon cancers, including right- and left-sided colon cancers.Methods: Patients with stage I–III colon cancers who underwent elective laparoscopic colectomy between January 2013 and December 2017 were analyzed retrospectively. Patients converted from laparoscopic to open surgery and R1/R2 resection were excluded. Propensity score matching (PSM) analysis (1:1) was performed to overcome patient selection bias.Results: A total of 388 patients were reviewed. After PSM, 83 patients in the EA group and 83 patients in the IA group were compared. Median follow-up was 56.5 months in the EA group and 55.5 months in the IA group. Estimated 3-year overall survival (OS) did not differ significantly between the EA group (86.6%; 95% confidence interval (CI), 77.4–92.4%) and IA group (84.8%; 95%CI, 75.0–91.1%; P = 0.68). Estimated 3-year disease-free survival (DFS) likewise did not differ significantly between the EA group (76.4%; 95%CI, 65.9–84.4%) and IA group (81.0%; 95%CI, 70.1–88.2%; P = 0.12).Conclusion: TLC with IA was comparable to LAC with EA in terms of 3-year OS and DFS. TLC with IA thus appears to offer an oncologically feasible procedure.

Totally laparoscopic sigmoid colectomy: a simple and safe technique for intracorporeal anastomosis

2009 ◽  
Vol 23 (11) ◽  
pp. 2605-2609 ◽  
Author(s):  
Hiroki Akamatsu ◽  
Takeshi Omori ◽  
Tsukasa Oyama ◽  
Masayuki Tori ◽  
Shigeyuki Ueshima ◽  
...  
Keyword(s):  
Intracorporeal Anastomosis ◽  
Sigmoid Colectomy ◽  
Laparoscopic Sigmoid Colectomy ◽  
Safe Technique ◽  
Totally Laparoscopic

scholarly journals Transanal Anastomosis Method and Prolapsing Technique in Totally Laparoscopic Low Anterior Resection for Lower Rectal Cancer

2021 ◽  
Vol 105 (1-3) ◽  
pp. 21-25
Author(s):  
Takuya Shiraishi ◽  
Naoki Tomizawa ◽  
Tatsumasa Andoh ◽  
Takuhisa Okada ◽  
Naoya Ozawa
Keyword(s):  
Laparoscopic Surgery ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Abdominal Cavity ◽  
Intracorporeal Anastomosis ◽  
Lower Rectal Cancer ◽  
Abdominal Incision ◽  
Laparoscopic Low Anterior Resection ◽  
Double Stapling ◽  
Totally Laparoscopic

There are some reports of totally laparoscopic surgery performed by intracorporeal anastomosis without abdominal incision. However, intracorporeal anastomosis with prolapsing technique is difficult and complicated via laparoscopic surgery alone. We found it easier to achieve totally laparoscopic low anterior resection (LAR) by anastomosis anally. Our procedure was performed in 32 patients. After the prolapsed rectum with the tumor was transected, reconstruction was performed by using a double-stapling technique (DST) or a hand-sewn technique (HST). In the DST, the proximal colon was pulled outside transanally, and the anvil head was inserted into the colon and returned to the abdominal cavity. The anal-side rectum was closed using a linear stapling device, and DST was performed. The HST was modified from intersphincteric resection anastomosis. No patient experienced complications associated with this procedure. Cosmetic satisfaction was achieved. All patients obtained disease-free margins pathologically, and none experienced local recurrence. Intracorporeal anastomosis of totally laparoscopic low anterior resection is difficult via laparoscopic ports only. It can be simplified by operating with anastomosis via the anus.

Surgical Procedures and Short-Term Outcomes of a Complete Laparoscopic Colectomy with Intracorporeal Anastomosis for Right-Sided Colon Cancer

2019 ◽  
Vol 85 (5) ◽  
pp. 240-242
Author(s):  
Satoru Yamaguchi ◽  
Yosuke Shida ◽  
Keisuke Ihara ◽  
Hideo Ogata ◽  
Hiroto Muroi ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Surgical Procedures ◽  
Laparoscopic Colectomy ◽  
Intracorporeal Anastomosis ◽  
Short Term
Sign in / Sign up

Export Citation Format

Share Document