Abstract
Purpose
We report the feasible technique in lower rectal surgery.
Materials and Methods
The Rectum Catcher (Matsumoto et al. in Surg Endosc 22:1905–1909, 2008) is made of stainless steel, with a circle of diameter 6 mm punched out at a distance of 5 mm from the top and covered with a short-cut T-tube. A vessel tape is inserted into the stainless steel and the short-cut T-tube. The rectum is grasped using the Rectum Catcher at a proximal rectum of the cancer, and the location of the cancer is confirmed using an intra-operative colonoscopy. In the next step, the Rectum Catcher is applied at the distal rectum of the cancer, and which easily occludes the rectum, and we confirm that the cancer is not at the distal rectum from the Rectum Catcher, using an intra-operative colonoscopy. The rectal lumen is irrigated. Then, the linear cutter is positioned just distal rectum to the Rectum Catcher, and the rectum is transected adequately.
Results
From January 2009 to the present, this study included 18 patients undergoing laparoscopic-assisted low and ultralow anterior resection for lower rectal cancer, using the Rectum Catcher and an intra-operative colonoscopy. Using the Rectum Catcher and an intra-operative colonoscopy, we can easily make a decision of the location of rectal cancer in lower rectum and irrigation of rectal lumen can be easily performed to safely cut the bowel being occluded, in the narrow laparoscopic view of the pelvic cavity.
Conclusion
The combination between the Rectum Catcher and an intra-operative colonoscopy is useful for performing laparoscopic rectal surgery.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Griffen FD, Knight CD, Whitaker JM, Knight CD Jr (1990) The Double Stapling Technique for Low Anterior Resection. Ann Surg 211:745–751
Jacobs M, Verdeja JC, Goldstein HS (1991) Minimally invasive colon resection (laparoscopic colectomy). Surg Laparosc Endosc 1:144–150
Plasencia G, Jacobs M, Verdeja JC et al (1993) Laparoscopic-assisted sigmoid colectomy and low anterior resection. Dis Colon Rectum 37:829–833
Matsumoto A, Arita K, Tashiro M, Usui S, Takiguchi N, Hiranuma S (2008) The simple Rectum Catcher device is a useful tool for laparoscopic-assisted high and lower rectal surgery. Surg Endosc 22:1905–1909
Hartley JE, Mehigan BJ, Qureshi AE, Duthie GS, Lee PW, Monson JR (2001) Total mesorectal excision: assessment of the laparoscopic approach. Dis Colon Rectum 44:315–321
Scheidbach H, Schneider C, Baerlehner E, Konradt J, Koeckerling F (2001) Laparoscopic colorectal surgery study group. Laparoscopic anterior resection for rectal carcinoma. Results of a registry. Surg Oncol Clin North Am 10:599–609
Fukunaga M, Kidokoro A, Iba T, Sugiyama K, Fukunaga T, Nagakari K, Suda M, Yoshikawa S (2005) Laparoscopy-assisted low anterior resection with a prolapsing technique for low rectal cancer. Surg Today 35:598–602
Teramoto T, Watanabe M, Kitajima M (1997) Peranum intersphincteric recral dissection with direct coloanal anastomosis for lower rectal cancer. Dis Colon Rectum 40:s43–s47
Watanabe M, Teramoto T, Hasegawa H, Kitajima M (2000) Laparoscopic ultralow anterior resection combined with per anum intersphincteric rectal dissection for lower rectal cancer. Dis Colon Rectum 45:s94–s97
Idani H, Naruse M, Kin H, Uda K, Muro M, Kaneko A, Sasaki H, Watanabe K (1996) Laparoscopic low anterior resection using a triple stapling technique. Surg Laparosc Endosc 9:399–402
Conflict of interest
Drs. Akiyo Matsumoto, MD, Kaida Arita, MD, Masaki Tashiro, MD, Shigeo Haruki, MD, Shinsuke Usui, MD, and Susumu Hiranuma, MD have no conflicts of interest or financial ties to disclose.
Copyright transfer statement
In consideration of International Journal of Colorectal Disease reviewing and editing our submission, the authors undersigned hereby transfer, assign, or otherwise convey all copyright ownership to International Journal of Colorectal Disease and represent that they own all the right in the material submitted.
Author information
Authors and Affiliations
Corresponding author
Additional information
Akiyo Matsumoto, MD conceived this surgical technique.
Akiyo Matsumoto, MD performed this surgical technique in the operation together with Kaida Arita, MD, Masaki Tashiro, MD, and Shigeo Haruki.
Akiyo Matsumoto, MD wrote the paper. All authors discussed the results and commented on the manuscript.
Rights and permissions
About this article
Cite this article
Matsumoto, A., Arita, K., Tashiro, M. et al. Laparoscopic-assisted low and ultralow anterior resection for lower rectal cancer using the simple “Rectum Catcher” device and an intra-operative colonoscopy. Int J Colorectal Dis 27, 243–247 (2012). https://doi.org/10.1007/s00384-011-1297-2
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00384-011-1297-2