Next up
Exploration
Continuing in
Laparoscopic Middle Rectal Cancer Resection with Transanal Specimen Extraction (NOSES II)
This is a preview of subscription content
Your browser needs to be JavaScript capable to view this video
Try reloading this page, or reviewing your browser settings
This video segment demonstrates the key steps of NOSES II by an animation.
Keyword
- Animation
Conflict of Interest
None.
About this video
- Author(s)
- Mingguang Zhang
- Qian Liu
- Xishan Wang
- First online
- 17 December 2023
- DOI
- https://doi.org/10.1007/978-981-99-7655-3_4
- Online ISBN
- 978-981-99-7655-3
- Publisher
- Springer, Singapore
- Copyright information
- © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. 2024
Video Transcript
In order to better understand this technique, an animation showing key steps is made. After the dissection and separation, distal rectum below the tumor is transected by the linear stapler. The surgeon applies the ultrasonic scalpel to open the rectal wall transversely. Then a protective sleeve is placed in the abdominal cavity through the trocar.
The assistant pulls one end of the protective sleeve out through the anus and places the proximal rectal stump into the protective sleeve. Proximal rectal stump is clamped with the oval forceps and pulled out of the anus. The purse-string forceps is applied extracorporeally at the intended resection line above the tumor, and the bowel is transected to remove the specimen.
The anvil is introduced into the sigmoid colon stump and closed with a purse-string suture, and then the sigmoid colon is reintroduced into the abdominal cavity. The rectal stump is closed by a linear Endo GIA stapler, whereafter a circular stapler is inserted transanally to complete the end-to-end anastomosis.