Erschienen in:
17.04.2019 | Trick of the Trade
Laparoscopic colorectal anastomosis technique without ‘‘dog ear’’ formation using LigaSure for bowel transection
verfasst von:
M.-T. Wei, T.-H. Yang, X.-B. Deng, W.-J. Meng, J.-H. Han, Z.-G. Zhou, Z.-Q. Wang
Erschienen in:
Techniques in Coloproctology
|
Ausgabe 2/2020
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Excerpt
Nowadays, laparoscopic colorectal resection is gaining widespread popularity because it is associated with less blood loss, quicker recovery, and shorter hospitalization than open surgery as well as equivalent oncological benefits. In laparoscopic surgery, bowel transection and reconstruction are very important for oncological efficacy and surgical safety, especially avoidance of anastomotic leakage (AL). Although multiple factors such as total mesorectal excision (TME) surgery, low anastomosis, preoperative chemoradiation, advanced tumor stage, and multiple firings of the linear stapler are proven to increase the risk of postoperative AL, the technical aspect of colorectal transection and anastomosis is the dominant contributing factor [
1]. …