[Laparoscopic abdomino-perineal rectum excision with high dissection of the inferior mesenteric artery. Simplification by intraoperative ventral fixation of the rectosigmoid].
Between July 1992 and September 1993, 8 patients with adenomcarcinoma of the rectum were treated by laparoscopic-assisted abdomino-perineal excision of the rectum. Using an awl, it was possible to ventrally retract the sigmacolon and fix it to the ventral abdominal wall, simplifying the dissection of the inferior mesenteric artery.
Chirurgische Klinik, St. Martinus-Hospitals Olpe.
H J
HJ
Meyer
K H
KH
Ebert
D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology / Q000601:surgery; D020706:Laparoscopes; D017537:Mesenteric Artery, Inferior / Q000601:surgery*; D009367:Neoplasm Staging; D010502:Perineum / Q000601:surgery; D012004:Rectal Neoplasms / Q000473:pathology / Q000601:surgery*; D013525:Surgical Instruments; D013536:Suture Techniques / Q000295:instrumentation*
Die laparoskopische abdomino-perineale Rectumexstirpation mit hoher Durchtrennung der A. mesenterica inferior. Vereinfachung durch intraoperative Ventralfixation des Rectosigmoids.