Diseases of the Colon & Rectum

, Volume 37, Issue 3, pp 268–271 | Cite as

Laparoscopic sigmoid colectomy: Total laparoscopic approach

  • A. Darzi
  • P. Super
  • P. J. Guillou
  • J. R. T. Monson
Technical Notes
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Abstract

Laparoscopic surgery seems set to make a significant impact on the practice of colorectal surgery. However, to date, the majority of surgeons have used a technique of laparoscopic assistance whereby initial laparoscopic mobilization of the bowel is followed by extracorporeal mesenteric and bowel division and subsequent restoration of bowel continuity. This report describes a technique of totally laparoscopic left-sided colonic resection, transanal specimen delivery, and intracorporeal colorectal anastomosis. The technique employed is described in detail and the indications and controversies surrounding such an approach are discussed.

Key words

Laparoscopy Colectomy Surgical technique Colon cancer 

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References

  1. 1.
    Monson JR, Darzi A, Carey PD, Guillou PJ. Feasibility and preliminary results of laparoscopic assisted colectomy in a prospective unselected groups of patients. Lancet 1992;340:831–3.PubMedGoogle Scholar
  2. 2.
    Schlinkert RT. Laparoscopic-assisted right hemicolectomy. Dis Colon Rectum 1991;34:1030–1.PubMedGoogle Scholar

Copyright information

© American Society of Colon and Rectal Surgeons 1994

Authors and Affiliations

  • A. Darzi
    • 1
  • P. Super
    • 1
  • P. J. Guillou
    • 1
  • J. R. T. Monson
    • 1
  1. 1.Academic Surgical Unit, St. Mary's Hospital Medical SchoolSt. Mary's HospitalLondonUK

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