World Journal of Laparoscopic Surgery

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VOLUME 1 , ISSUE 3 ( September-December, 2008 ) > List of Articles

RESEARCH ARTICLE

Laparoscopic Low Anterior Resection with Distal Rectal Washout Using the New Device of Gut-clamper

Takao Ichihara, Moriatsu Takada, Yoshikazu Kuroda

Citation Information : Ichihara T, Takada M, Kuroda Y. Laparoscopic Low Anterior Resection with Distal Rectal Washout Using the New Device of Gut-clamper. World J Lap Surg 2008; 1 (3):31-34.

DOI: 10.5005/jp-journals-10007-1067

Published Online: 01-12-2008

Copyright Statement:  Copyright © 2008; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background

Intraoperative rectal washout is considered to be important in colorectal surgery, but it is rather difficult in laparoscopic surgery. To resolve the problem, a new device called gut-clamper have invented for complete washout of the rectum during the laparoscopic low anterior resection.

Methods

Forty patients with rectal cancer underwent laparoscopic low anterior resection by a single skilled operator.

Results

Thirty patients with rectal cancer underwent laparoscopic low anterior resection with colorectal washout using gut-clamper. There was one complication of leakage in ten cases underwent without using gut-clamper. The number of times using laparoscopic staplers was 1.9±1.0 in the cases using gut-clamper, while that was 3.4 ± 1.1 in the cases without using gut-clamper.

Conclusion

This device of gut-clamper is easy and safe as well as reasonable physically and economically for intra-operative rectal washout including laparoscopic colorectal resection.


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