Laparoscopic Colorectal Resection with Intracorporeal Delta Anastomosis in Reduced Port Surgery Utilizing an Incision at the Umbilicus.
EAES Academy. Yonezawa H. 07/05/22; 363010; P053
Dr. Hiroki Yonezawa
Contributions
Contributions
Abstract
Introduction:
Minimally invasive surgery has become popular for colorectal cancer, and we have introduced reduced port surgery for less invasive surgery. In recent years, there has been a growing interest in fully laparoscopic colorectal resection, in which intestinal dissection and anastomosis are performed intracorporeally. Intracorporeal anastomosis has been reported to shorten the length of the small laparotomy wound, reduce the risk of vascular injury during anastomosis, and allow early recovery of bowel function, but there are not many reports on reduced port surgery.
Aims: We report two cases of reduced port laparoscopic colectomy for colon cancer using intracorporeal anastomosis with Delta anastomosis, including a video of the surgery.
Methods:
Case 1: A 61-year-old man. He underwent a single-incision plus one-port laparoscopic right hemi-colectomy for T2N0M0 Stage I ascending colon cancer. Operative time 210 minutes, blood loss 23ml.
Case 2: A 79-year-old man. He underwent a single-incision plus two-port Senhans-assisted laparoscopic right hemicolectomy for T3N1bM0 Stage IIIB ascending colon cancer.
Results:
Case 1: After radical resection of the tumor, an intracorporeal Delta anastomosis was performed with single-incision plus one port by inserting a stapler through a multichannel device in the umbilical region for reconstruction. The patient started eating from POD3 without any postoperative complications and was discharged from the hospital on POD6.
Case 2: As in case 1, after radical resection of the tumor, a stapler was inserted through a multichannel device in the umbilical region, and an intracorporeal Delta anastomosis was performed with Senhance-assisted reduced port laparoscopic surgery. The patient started eating from POD3 without any postoperative complications and was discharged on POD6.
Discussion:
It has been reported that intracorporeal anastomosis can shorten the length of a small laparotomy wound, and combining it with reduced port surgery, a minimally invasive technique, may further reduce invasiveness. In addition, since the scope and stapler enter from the same single-incision, the angle of stapler insertion is easier to match, and excessive tension on the intestinal membrane may be reduced.
Conclusion:
Laparoscopic colon resection with intracorporeal Delta anastomosis in reduced port surgery using an umbilical incision was performed safely and comfortably. Further studies are needed to accumulate more cases.
Minimally invasive surgery has become popular for colorectal cancer, and we have introduced reduced port surgery for less invasive surgery. In recent years, there has been a growing interest in fully laparoscopic colorectal resection, in which intestinal dissection and anastomosis are performed intracorporeally. Intracorporeal anastomosis has been reported to shorten the length of the small laparotomy wound, reduce the risk of vascular injury during anastomosis, and allow early recovery of bowel function, but there are not many reports on reduced port surgery.
Aims: We report two cases of reduced port laparoscopic colectomy for colon cancer using intracorporeal anastomosis with Delta anastomosis, including a video of the surgery.
Methods:
Case 1: A 61-year-old man. He underwent a single-incision plus one-port laparoscopic right hemi-colectomy for T2N0M0 Stage I ascending colon cancer. Operative time 210 minutes, blood loss 23ml.
Case 2: A 79-year-old man. He underwent a single-incision plus two-port Senhans-assisted laparoscopic right hemicolectomy for T3N1bM0 Stage IIIB ascending colon cancer.
Results:
Case 1: After radical resection of the tumor, an intracorporeal Delta anastomosis was performed with single-incision plus one port by inserting a stapler through a multichannel device in the umbilical region for reconstruction. The patient started eating from POD3 without any postoperative complications and was discharged from the hospital on POD6.
Case 2: As in case 1, after radical resection of the tumor, a stapler was inserted through a multichannel device in the umbilical region, and an intracorporeal Delta anastomosis was performed with Senhance-assisted reduced port laparoscopic surgery. The patient started eating from POD3 without any postoperative complications and was discharged on POD6.
Discussion:
It has been reported that intracorporeal anastomosis can shorten the length of a small laparotomy wound, and combining it with reduced port surgery, a minimally invasive technique, may further reduce invasiveness. In addition, since the scope and stapler enter from the same single-incision, the angle of stapler insertion is easier to match, and excessive tension on the intestinal membrane may be reduced.
Conclusion:
Laparoscopic colon resection with intracorporeal Delta anastomosis in reduced port surgery using an umbilical incision was performed safely and comfortably. Further studies are needed to accumulate more cases.
Introduction:
Minimally invasive surgery has become popular for colorectal cancer, and we have introduced reduced port surgery for less invasive surgery. In recent years, there has been a growing interest in fully laparoscopic colorectal resection, in which intestinal dissection and anastomosis are performed intracorporeally. Intracorporeal anastomosis has been reported to shorten the length of the small laparotomy wound, reduce the risk of vascular injury during anastomosis, and allow early recovery of bowel function, but there are not many reports on reduced port surgery.
Aims: We report two cases of reduced port laparoscopic colectomy for colon cancer using intracorporeal anastomosis with Delta anastomosis, including a video of the surgery.
Methods:
Case 1: A 61-year-old man. He underwent a single-incision plus one-port laparoscopic right hemi-colectomy for T2N0M0 Stage I ascending colon cancer. Operative time 210 minutes, blood loss 23ml.
Case 2: A 79-year-old man. He underwent a single-incision plus two-port Senhans-assisted laparoscopic right hemicolectomy for T3N1bM0 Stage IIIB ascending colon cancer.
Results:
Case 1: After radical resection of the tumor, an intracorporeal Delta anastomosis was performed with single-incision plus one port by inserting a stapler through a multichannel device in the umbilical region for reconstruction. The patient started eating from POD3 without any postoperative complications and was discharged from the hospital on POD6.
Case 2: As in case 1, after radical resection of the tumor, a stapler was inserted through a multichannel device in the umbilical region, and an intracorporeal Delta anastomosis was performed with Senhance-assisted reduced port laparoscopic surgery. The patient started eating from POD3 without any postoperative complications and was discharged on POD6.
Discussion:
It has been reported that intracorporeal anastomosis can shorten the length of a small laparotomy wound, and combining it with reduced port surgery, a minimally invasive technique, may further reduce invasiveness. In addition, since the scope and stapler enter from the same single-incision, the angle of stapler insertion is easier to match, and excessive tension on the intestinal membrane may be reduced.
Conclusion:
Laparoscopic colon resection with intracorporeal Delta anastomosis in reduced port surgery using an umbilical incision was performed safely and comfortably. Further studies are needed to accumulate more cases.
Minimally invasive surgery has become popular for colorectal cancer, and we have introduced reduced port surgery for less invasive surgery. In recent years, there has been a growing interest in fully laparoscopic colorectal resection, in which intestinal dissection and anastomosis are performed intracorporeally. Intracorporeal anastomosis has been reported to shorten the length of the small laparotomy wound, reduce the risk of vascular injury during anastomosis, and allow early recovery of bowel function, but there are not many reports on reduced port surgery.
Aims: We report two cases of reduced port laparoscopic colectomy for colon cancer using intracorporeal anastomosis with Delta anastomosis, including a video of the surgery.
Methods:
Case 1: A 61-year-old man. He underwent a single-incision plus one-port laparoscopic right hemi-colectomy for T2N0M0 Stage I ascending colon cancer. Operative time 210 minutes, blood loss 23ml.
Case 2: A 79-year-old man. He underwent a single-incision plus two-port Senhans-assisted laparoscopic right hemicolectomy for T3N1bM0 Stage IIIB ascending colon cancer.
Results:
Case 1: After radical resection of the tumor, an intracorporeal Delta anastomosis was performed with single-incision plus one port by inserting a stapler through a multichannel device in the umbilical region for reconstruction. The patient started eating from POD3 without any postoperative complications and was discharged from the hospital on POD6.
Case 2: As in case 1, after radical resection of the tumor, a stapler was inserted through a multichannel device in the umbilical region, and an intracorporeal Delta anastomosis was performed with Senhance-assisted reduced port laparoscopic surgery. The patient started eating from POD3 without any postoperative complications and was discharged on POD6.
Discussion:
It has been reported that intracorporeal anastomosis can shorten the length of a small laparotomy wound, and combining it with reduced port surgery, a minimally invasive technique, may further reduce invasiveness. In addition, since the scope and stapler enter from the same single-incision, the angle of stapler insertion is easier to match, and excessive tension on the intestinal membrane may be reduced.
Conclusion:
Laparoscopic colon resection with intracorporeal Delta anastomosis in reduced port surgery using an umbilical incision was performed safely and comfortably. Further studies are needed to accumulate more cases.
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