Eversion of the rectum allows complete excision of the rectum. Here, we describe a modification of the stapling technique of ileoanal anastomosis, which leads to a safer anastomosis.
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Transabdominal minimal invasive surgery for ultralow anterior resection-intersphincteric dissection with total hiatal ligament excision and rectal pull-through and eversion for direct access to the distal resection margin - a video vignette.
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Zhonghua Wei Chang Wai Ke Za Zhi
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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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European Center of Coloproctology and Pelvic Diseases, Multimedica Hospital, Milan, Italy.
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Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, Tokyo, Japan.
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