Hybrid natural orifice transluminal endoscopic surgery for ileocecal resection  

作　　者：Satoru Takayama Masayasu Hara Mikinori Sato Hiromitsu Takeyama 

机构地区：[1]Department of Gastroenterological Surgery,Nagoya City University Graduate School of Medical Sciences,Nagoya

出　　处：《World Journal of Gastrointestinal Surgery》2012年第2期41-44,共4页世界胃肠外科杂志（英文版）（电子版）

摘　　要： Although laparoscopic colectomy is commonly performed around the world,an operative wound formed during the surgery is large but not sufficient enough to convert for the majority of open surgery.Thus,a certain sized skin incision is required to remove the resected colon.Here we report the case of a pure laparoscopic ileocecal resection which involves transanal specimen extraction.We present a case characterized by a laterally spreading type of tumor of the cecum.We performed a pure laparoscopic ileocecal resection and the resected specimen was removed transanally using colonoscopy.Intracorporeal functional anastomosis was then performed using a flexible linear stapling device under supporting barbed suture traction.The patient was discharged without complications on postoperative day 4.Laparoscopic colectomy performed with minimal incision could essentially increase the usage of this surgical technique.Although our method is restricted to flat or small lesions,we think it is a feasible and realistic solution for minimization of operative invasion because it involves specimen extraction through a natural orifice.Although laparoscopic colectomy is commonly perform-ed around the world, an operative wound formed during the surgery is large but not sufficient enough to convert for the majority of open surgery. Thus, a certain sized skin incision is required to remove the resected colon. Here we report the case of a pure laparoscopic ileocecal resection which involves transanal specimen extraction. We present a case characterized by a laterally spreading type of tumor of the cecum. We performed a pure laparoscopic ileocecal resection and the resected specimen was removed transanally using colonoscopy. Intracorporeal functional anastomosis was then performed using a flexible linear stapling device under supporting barbed suture traction. The patient was discharged without complications on postoperative day 4. Laparoscopic colectomy performed with minimal incision could essentially increase the usage of this surgical technique. Although our method is restricted to flat or small lesions, we think it is a feasible and realistic solution for minimization of operative invasion because it involves specimen extraction through a natural orifice.

关 键 词：LAPAROSCOPIC ileocecal RESECTION Natural ORIFICE TRANSLUMINAL ENDOSCOPIC surgery Transanus Barbed SUTURE 

分 类 号：R574[医药卫生—消化系统]