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Surgical Endoscopy

, Volume 26, Issue 3, pp 869–871 | Cite as

Laparoscopic subtotal colectomy with transrectal extraction of the colon and ileorectal anastomosis

  • Ziad T. AwadEmail author
Dynamic Manuscript

Abstract

Background

Despite the growing acceptance of laparoscopic colon surgery, an abdominal incision is needed to remove the specimen and perform an anastomosis.

Methods

Five trocars (one 12 mm and four 5 mm) were used. The video describes the technique of performing laparoscopic subtotal colectomy, laparoscopic cholecystectomy, transrectal removal of the gallbladder and the entire colon, and intracorporeal stapled ileorectal anastomosis in a 27-year-old female with colonic inertia and biliary dyskinesia.

Results

There were no intraoperative complications. The operating time was 180 min. Blood loss was 10 cc. The patient was discharged home on postoperative day 4.

Conclusion

Laparoscopic subtotal colectomy with transrectal removal of the colon is a safe and effective procedure that can be added to the armamentarium of surgeons performing laparoscopic colon surgery. This technique may provide both an attractive way to reduce abdominal wall morbidity and a bridge to NOTES colon surgery.

Keywords

Laparoscopic subtotal colectomy Colonic inertia Transrectal Intracorporeal anastomosis Natural orifice surgery 

Notes

Disclosure

Ziad T. Awad confirms that he has no conflicts of interest or financial ties to disclose.

Supplementary material

Supplementary material 1 (MOV 299223 kb)

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Division of Minimally Invasive Surgery, Department of SurgeryUniversity of Florida College of Medicine JacksonvilleJacksonvilleUSA

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