Zusammenfassung
Eingeschränkte Triangulation, begrenztes Sichtfeld sowie die Flexibilität des Darms machten große Darmeingriffe bei NOTES- („natural orifice translumenal endoscopic surgery“), Single-Port- und ähnlichen Verfahren lange Zeit unmöglich. Um die räumliche Kontrolle zu verbessern, bediente man sich daher zusätzlicher Zugänge. Diese können nun in der hier präsentierten neu entwickelten Snake-charmer-NOTES-Technik auf Nabel und Rektum beschränkt werden. Wir berichten vom ersten Fall einer Hybrid-NOTES-Proktokolektomie mit ileopouchanaler Anastomose bei einem männlichen Patienten.
Abstract
Restricted ability of triangulation, a highly flexible intestine, as well as limited control and overview over the abdominal organs, complicated extensive abdominal interventions in the past. Thus, additional access sites were needed to allow sufficient interoperative control. The newly developed snake charmer NOTES-technique enables the reduction of accesses to the umbilicus and rectum. We report the first case of total proctocolectomy with ileoanal pouch formation in hybrid NOTES technique in a male patient.
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Literatur
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Lamadé, W., Schymik, K., Rieber, F. et al. Snake-charmer-NOTES-Proktokolektomie beim Mann. Chirurg 82, 719–722 (2011). https://doi.org/10.1007/s00104-011-2094-8
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DOI: https://doi.org/10.1007/s00104-011-2094-8