Totally intracorporeal laparoscopic colorectal anastomosis using circular stapler

Abstract

Side-to-end anastomosis can be easily and safely performed using conventional circular stapler through TLCCA. TLCCA is performed using four laparoscopic ports without additional skin incision (except trocars incision) and allows the retrieval of surgical pieces through a specimen bag.

Population perception of surgical safety and body image trauma: a plea for scarless surgery?

“…The patients were collected in the visceral surgery unit, whereas the general population persons surveyed were A Laparoscopy [26]. B Laparoendoscopic single-site access (LESS) [6].…”

Single-Port Access Laparoscopic Radical Left Colectomy in Humans

“…12,22,38 Future development may even allow intracorporeal anastomosis construction and extraction of the specimen in a bag, which can be of importance for cancer cases. 5,6 The present technique, with extracorporeal proximal colon preparation, can be performed without mechanical bowel preparation. This may be important because the omission of mechanical bowel preparation has been shown to be associated with reduced morbidity rates and the absence of related inflammatory changes within the bowel wall.…”

“…12,30 Among the potential advantages of SPA left colectomy compared with standard laparoscopic colectomy, cosmesis is an important factor. 5,7,35 As long as a procedure is shown to be oncologically safe, it is favored by patients if it gives better cosmetic results and body image respect. 4,7,35,36 Nevertheless, SPA left colectomy is a challenging procedure and will need technical improvement before it can be used as a standard approach.…”

“…2G). Extracorporeal preparation of the proximal colon was completed with stapler anvil placement for side-to-end colorectal anastomosis according to the technique described by Bucher et al 5 (Fig. 2H).…”

“…[1][2][3][4] Various techniques have been developed for use during laparoscopic colectomy to decrease parietal trauma and improve cosmetic results. [5][6][7] Further efforts to avoid the need for skin incisions have led to the development of techniques such as natural orifice transluminal endoscopic surgery (NOTES) and single-port access (SPA) surgery. 8,9 Recent surveys have shown that patients would prefer NOTES over standard laparoscopy if the risks associated with the 2 approaches were comparable.…”