A 76-year-old male underwent endoscopic mucosal resection for a stage T1 tumour of the sigmoid colon. We performed laparoscopic sigmoidectomy through 5 ports using needlescopic instruments. The resected specimen was extracted from the abdominal cavity transanally. After attaching an anvil to the sigmoidal stump, the rectal stump was reclosed using an endoscopic linear stapler, and then, colorectal anastomosis was conducted using the double stapling technique. Performing transanal specimen extraction using needlescopic forceps improves aesthetic outcomes and reduces post-operative pain and the risk of abdominal incisional hernias. This method is an easy to introduce a form of reduced-port surgery because of its feasibility and conventional port arrangement. Hence, we consider that it is an option for minimally invasive surgery.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5749203 | PMC |
| http://dx.doi.org/10.4103/jmas.JMAS_110_17 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Thoracic combined spinal epidural anaesthesia for exploratory laparoscopy and laparotomy (sigmoidectomy, colostomy): The first case in Palestine for the ASA5 patient.
SAGE Open Med Case Rep
December 2024
Deparment of Anesthesia, Al-Ahli Hospital, Hebron, Palestine.
Thoracic combined spinal epidural anaesthesia offers the ideal perioperative anaesthesia and analgesia. A 78-year-old female presented to our hospital with a hypertensive emergency, non-ST elevation myocardial infarction and pulmonary effusion. Then the patient had abdominal pain, constipation and vomiting.
View Article and Find Full Text PDFPylorus-preserving pancreatoduodenectomy preserving blood supply for pancreatic cancer with a history of proximal gastrectomy and sigmoidectomy: a case report.
Surg Case Rep
November 2024
Department of Surgery, Toyota Kosei Hospital, 500-1 Josui-cho, Toyota, Aichi, 470-0396, Japan.
Background: Blood supply to the remnant stomach should be preserved during pancreatectomy in patients with a history of gastrectomy. Moreover, ischemic complications should be considered when performing pancreatoduodenectomy in patients with celiac axis and superior mesenteric artery (SMA) stenosis. However, whether these surgical procedures can be safely performed remains unclear.
View Article and Find Full Text PDFElective Laparoscopic Sigmoidectomy Reduces IL-6 Serum Levels in Uncomplicated Recurrent Diverticulitis.
Chirurgia (Bucur)
October 2024
AIMS Academy Clinical Research Network, Niguarda Cà Granda Hospital, Milan, Italy
Introduction: Although recurrent diverticulitis appears to be a chronic relapsing disease from a clinical standpoint, there are no sufficient data about inflammatory markers that allow monitoring recurrent diverticulitis in the quiescent phase. Our hypothesis is that serum inflammatory markers may be increased during clinical quiescent phases of diverticulitis and will drop after elective laparoscopic sigmoidectomy for uncomplicated recurrent diverticulitis. We also believe that a drop in IL-6 levels across surgery could be related to an improved quality of life.
View Article and Find Full Text PDFIs histopathological analysis necessary in patients undergoing sigmoidectomy for diverticular disease? A retrospective study.
Colorectal Dis
November 2024
Department of Surgery, Bellinzona e Valli Regional Hospital EOC, Bellinzona, Switzerland.
Article Synopsis
- - The study aimed to evaluate the effectiveness of routine histopathological exams for patients undergoing sigmoidectomy due to diverticular disease after having a colonoscopy within a year prior.
- - A total of 207 patients were analyzed, revealing only a small percentage (3.9%) had unexpected findings during histopathological exams, most of which were clinically insignificant.
- - The findings suggest that preoperative colonoscopy results were highly reliable in predicting histopathological outcomes, indicating that routine exams may not be necessary for all patients.
A Decade of Follow-Up to Assess the Risk of Recurrence and Surgery after a First Episode of Uncomplicated Left-Sided Diverticulitis.
J Clin Med
September 2024
Dipartimento di Chirurgia Viscerale, Ospedale Regionale di Lugano, Via Tesserete 46, 6900 Lugano, Switzerland.
Article Synopsis
- The study investigates long-term outcomes for patients who experienced a first episode of acute uncomplicated diverticulitis (UD) in the left colon, finding that almost 50% had at least one recurrence over a decade of follow-up.
- Out of 105 patients, nearly 20% eventually required elective surgery, primarily due to multiple recurrences, with male patients being more likely to need surgery.
- The research indicates that common classification systems do not effectively predict recurrences, though a specific stage (CDD 1a) was linked to lower chances of requiring surgery.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!