title: Pelvic peritonization after laparoscopic abdominoperineal resection for low-rectal carcinoma treatment: surgical technique.
abstract: Abdominoperineal resection is a standard method of low-rectum carcinoma treatment. It is associated with significant morbidity and mortality rates, which decreased with the development of preoperative diagnostic procedures, new surgical techniques and new surgical instruments. In this article, laparoscopic pelvic peritonization was used after laparoscopic rectum amputation for low-rectum carcinoma treatment. Pelvic peritonization is performed after laparoscopic recto-sigmoid extirpation, using the extended absorbable intracorporeal suture with titanic clip application after every second suture. The role of titanic clip is to grasp the extended suture and to mark the postoperative irradiation field. Laparoscopic pelvic peritonization after laparoscopic abdominoperineal rectum amputation is a simple procedure with clinical importance in possible adhesion and postirradiatic enteritis prevention. This procedure can satisfy all oncological requirements and minimally invasive surgery principles and is acceptable for every patient in which rectum amputation is indicated.
authors.affiliation: Department of Surgery, University Hospital Split and Split University School of Medicine, Spincićeva 1, 21000 Split, Croatia.
authors.forename: Nikica
authors.initials: N
authors.lastname: Druzijanić
authors.forename: Zdravko
authors.initials: Z
authors.lastname: Perko
authors.forename: Darko
authors.initials: D
authors.lastname: Srsen
authors.forename: Zenon
authors.initials: Z
authors.lastname: Pogorelić
authors.forename: Dragan
authors.initials: D
authors.lastname: Schwarz
authors.forename: Josko
authors.initials: J
authors.lastname: Juricić
mesh_terms: D000005:Abdomen / Q000601:surgery; D013505:Digestive System Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D010502:Perineum / Q000601:surgery; D010537:Peritoneum / Q000601:surgery; D012004:Rectal Neoplasms / Q000601:surgery*; D016896:Treatment Outcome