The intentional oblique transection double stapling technique in anterior resection for rectal cancer

Surgery Today ◽  
2016 ◽  
Vol 47 (4) ◽  
pp. 525-528
Author(s):  
Masafumi Kuramoto ◽  
Satoshi Ikeshima ◽  
Kenichiro Yamamoto ◽  
Keisuke Morita ◽  
Tomoyuki Uchihara ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Double Stapling Technique ◽  
Stapling Technique ◽  
Double Stapling

scholarly journals Rectovaginal Fistula after Low Anterior Resection for Rectal Cancer Using a Double Stapling Technique

2010 ◽  
Vol 4 (2) ◽  
pp. 224-228 ◽  
Author(s):  
Satoshi Yodonawa ◽  
Isao Ogawa ◽  
Susumu Yoshida ◽  
Hiromichi Ito ◽  
Keisuke Kobayashi ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Rectovaginal Fistula ◽  
Low Anterior Resection ◽  
Double Stapling Technique ◽  
Stapling Technique ◽  
Double Stapling

scholarly journals Laparoscopic-assisted anterior resection with double-stapling technique anastomosis: safe and feasible for lower rectal cancer?

2008 ◽  
Vol 23 (10) ◽  
pp. 2197-2202 ◽  
Author(s):  
Hiroya Kuroyanagi ◽  
Takashi Akiyoshi ◽  
Masatoshi Oya ◽  
Yoshiya Fujimoto ◽  
Masashi Ueno ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Lower Rectal Cancer ◽  
Double Stapling Technique ◽  
Stapling Technique ◽  
Double Stapling ◽  
Laparoscopic Assisted

scholarly journals Robotic low anterior resection for rectal cancer with side-to-end anastomosis in a patient with anal stenosis

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Yosuke Tajima ◽  
Tsunekazu Hanai ◽  
Hidetoshi Katsuno ◽  
Koji Masumori ◽  
Yoshikazu Koide ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Colorectal Anastomosis ◽  
Circular Stapler ◽  
Anal Stenosis ◽  
Robotic Assistance ◽  
Double Stapling Technique ◽  
Stapling Technique ◽  
Double Stapling

Abstract Background Colorectal anastomosis using the double stapling technique (DST) has become a standard procedure. However, DST is difficult to perform in patients with anal stenosis because a circular stapler cannot be inserted into the rectum through the anus. Thus, an alternative procedure is required for colorectal anastomosis. Case presentation A 78-year-old woman presented with bloody stool. Colonoscopy and computed tomography revealed advanced low rectal cancer without lymph node or distant metastasis. We initially planned to perform low anterior resection using a double stapling technique or transanal hand-sewn anastomosis, but this would have been too difficult due to anal stenosis and fibrosis caused by a Milligan-Morgan hemorrhoidectomy performed 20 years earlier. The patient had never experienced defecation problems and declined a stoma. Therefore, we inserted an anvil into the rectal stump and fixed it robotically with a purse-string suture followed by insertion of the shaft of the circular stapler from the sigmoidal side. In this way, side-to-end anastomosis was accomplished laparoscopically. The distance from the anus to the anastomosis was 5 cm. The patient was discharged with no anastomotic leakage. Robotic assistance proved extremely useful for low anterior resection with side-to-end anastomosis. Conclusion Performing side-to-end anastomosis with robotic assistance was extremely useful in this patient with rectal cancer and anal stenosis.

scholarly journals Robotic low anterior resection for rectal cancer with side-to-end anastomosis in a patient with anal stenosis

2020 ◽  
Author(s):  
Yosuke Tajima ◽  
Tsunekazu Hanai ◽  
Hidetoshi Katsuno ◽  
Koji Masumori ◽  
Yoshikazu Koide ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Circular Stapler ◽  
Anal Stenosis ◽  
Robotic Assistance ◽  
Bloody Stool ◽  
Double Stapling Technique ◽  
Stapling Technique ◽  
Double Stapling

Abstract BackgroundColorectal anastomosis using the double stapling technique (DST) has become a standard procedure. However, DST is difficult to perform in patients with anal stenosis because a circular stapler cannot be inserted into the rectum through the anus. Thus, an alternative procedure is required for colorectal anastomosis.Case presentationA 78-year-old woman presented with bloody stool. Colonoscopy and computed tomography revealed advanced low rectal cancer without lymph node or distant metastasis. We initially planned to perform low anterior resection using a double-stapling technique or transanal hand-sewn anastomosis but this would have been too difficult due to anal stenosis and fibrosis caused by a Milligan-Morgan hemorrhoidectomy performed 20 years earlier. The patient had never experienced defecation problems and declined a stoma. Therefore, we inserted an anvil into the rectal stump and fixed it robotically with a purse-string suture followed by insertion of the shaft of the circular stapler from the sigmoidal side. In this way, side-to-end anastomosis was accomplished laparoscopically. The distance from the anus to the anastomosis was 5 cm. The patient was discharged with no anastomotic leakage. Robotic assistance proved extremely useful for low anterior resection with side-to-end anastomosis.ConclusionPerforming side-to-end anastomosis with robotic assistance was extremely useful in this patient with rectal cancer and anal stenosis.

scholarly journals THE DEVICE LOW ANTERIOR RESECTION USING DOUBLE STAPLING TECHNIQUE FOR RECTAL CANCER

1995 ◽  
Vol 56 (1) ◽  
pp. 22-28 ◽  
Author(s):  
Naoyuki FUJIMOTO ◽  
Masahiro TAKANO ◽  
Koichi TAKAGI ◽  
Ryuichi KIKUCHI ◽  
Toshiya TANAKA ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Double Stapling Technique ◽  
Stapling Technique ◽  
Double Stapling
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