Intracorporeal antimesenteric ancillary trocar: an anastomotic technique facilitating natural orifice specimen extraction in left-sided colorectal surgery.

Aim: Natural orifice specimen extraction (NOSE) in left-sided colorectal surgery requires application of the circular stapler anvil to the proximal bowel without exteriorization through an additional abdominal incision. We describe an intracorporeal method to secure the stapler anvil, termed the intracorporeal antimesenteric ancillary trocar (IAAT) technique.

Method: The ancillary trocar is attached to the stapler anvil before introduction into the abdominal cavity through the anal or vaginal orifice.

Emergency surgery for perforated gastric malignancy: An institution's experience and review of the literature.

Objectives: The aim was to evaluate the outcome of patients who underwent surgery for perforated gastric malignancies.

Methods: A review of all patients who underwent surgery for perforated gastric malignancy was performed.

Results: Twelve patients (nine gastric adenocarcinoma and three B-cell lymphoma) formed the study group.