Rectal eversion and coloanal anastomosis: a classical technique we should not forget--a video vignette.

Colorectal Dis

Colorectal Unit, Department of General Surgery, Virgen del Rocío University Hospital, Av Manuel Siurot S/N, 41013 Sevilla, Spain.

Published: March 2016

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http://dx.doi.org/10.1111/codi.13239DOI Listing

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Article Synopsis
  • Rectal eversion (RE) is a surgical technique for removing low rectal tumors while preserving the anus, and this study reports on the long-term outcomes of RE combined with laparoscopic surgery using double stapling anastomosis.
  • The study involved 17 patients undergoing this procedure, with a mean follow-up of 64 months; it found no anastomotic leaks, with some experiencing low anterior resection syndrome (LARS) but overall good patient satisfaction.
  • Results indicate that 55% of the patients were extremely satisfied with their outcomes, and the study concluded that RE is a safe method in surgical treatment for rectal tumors.
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To investigate the application value of laparoscopic double stapler firings and double stapling technique combined with rectal eversion and total extra-abdominal resection (LDER) in the anal preservation treatment of low rectal cancer. Inclusion criteria: (1) age was 18-70; (2) the distance of the lower tumor edge from the anal verge was 4-5 cm; (3) primary tumor with a diameter ≤3 cm; (4) preoperative staging of T1~2N1~2M0; (5) "difficult pelvis", defined as ischial tuberosity diameter<10 cm or body mass index>25 kg/m; (6) patients with strong intention for sphincter preservation; (7) no preoperative treatment (e.g.

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Aim: Total mesorectal excision with adequate free margins is the gold standard for rectal surgery. Applying a linear stapler in a narrow pelvis can be challenging and the proper distal margin difficult to assess. In selected cases the colorectal eversion technique combined with single-stapled double-purse-string anastomosis (SSDP) can be a practical solution.

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