A standardized technique for laparoscopic rectal resection.
BACKGROUND
Laparoscopic rectal resection (LRR) has not gained the same acceptance as laparoscopic segmental colonic resection because of technical challenges, increased operating time and costs, and concerns about the oncological outcome.


CONCLUSIONS
One way to overcome these challenges is by standardizing the laparoscopic technique in the same way as has been done with the open rectal cancer surgery. We have established a standardized, stepwise laparoscopic procedure for rectal resections that enhances the transformation of laparoscopic skills, identifies indications for conversion early in the operation, and makes the operation predictable and reproducible for the whole surgical team.


CONCLUSIONS
We believe this saves time in the operating room and builds up laparoscopic team expertise.
Lindsetmo
Rolv-Ole
RO
Division of Colorectal Surgery, University Hospitals Case Medical Center, 11100 Euclid Avenue, Cleveland, OH 44106-5047, USA.
Delaney
Conor P
CP
D013505:Digestive System Surgical Procedures / Q000295:instrumentation / Q000379:methods* / Q000592:standards; D004210:Dissection / Q000295:instrumentation / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008026:Ligation; D012004:Rectal Neoplasms / Q000601:surgery*