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

Abstract

Intracorporeal functional end-to-end anastomosis using a linear stapler can be performed safely and easily for the resection of any part of the colon. We consider it an effective modality for totally laparoscopic colon resection. Favorable results have been achieved by this method, particularly for small tumors, since natural-orifice transluminal endoscopic surgery remains a challenging method to perform.

Total laparoscopic partial pancreatoduodenectomy and reconstruction via laparoscopic pancreatogastrostomy

“…In this context, we would like to stress that most laparoscopic colon resections reported in the literature as well have used extracorporal anastomoses [12] and, therefore, in pancreatic resection, a minilaparotomy to ensure safety of the anastomosis might be advisable. In pancreatic surgery, minilaparotomy for reconstruction on the other hand offers only a limited visibility and is somewhat more difficult than performing the anastomosis via a large incision.…”

Optimal intracorporeal anastomosis for colectomy: A comparative experimental evaluation through 3D anastomosis models

“…In these experiments, anastomosis models were created using three IA techniques: OLA, DSA, and FEEA [11,12,15] . In these three models, hand-sewing efforts were minimized and staplers were used as extensively as possible.…”

“…FEEA (Fig. 1c) This procedure was performed with a reference to the literature [15] . Enterotomies were created at the antimesenteric edges of the stapling line of both intestines.…”

Abordaje laparoscópico colorrectal con anastomosis totalmente intracorpórea

“…Otra variante de anastomosis totalmente intracórporea término-terminal es la descripta por Casciola y col. en el colon derecho y por Ikeda y col. en el colon izquierdo y confeccionada totalmente con suturas endoscópicas lineales. Básicamente consiste en realizar el cierre de ambos cabos por anastomosar con sendas suturas lineales endoscópicas, para luego alinear los bordes antimesentéricos, haciendo una apertura de 10 mm en cada uno de ellos, para luego insertar otra sutura lineal y realizar la anastomosis, y finalmente cerrar ambos orificios con otra sutura lineal [4][5][6][7][8][9][10][11][12][13] .…”

“…No hubo ninguna conversión, con 3 complicaciones menores (infección de herida 2 e íleo prolongado, 1) y sin mortalidad. En el seguimiento de 28 meses (2-94), 2 pacientes fallecieron por causas no inherentes a la enfermedad 13 .…”