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; The Author(s).


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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