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Article: A rare complication of laparoscopic low anterior resection

TitleA rare complication of laparoscopic low anterior resection
Authors
Issue Date2009
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.surgical-laparoscopy.com
Citation
Surgical Laparoscopy, Endoscopy And Percutaneous Techniques, 2009, v. 19 n. 5, p. e210 How to Cite?
AbstractWe report a 70-year-old lady who suffered from carcinoma of rectum with the lowest border of the tumor at 5cm from the anal verge. Preoperative staging did not show any distant metastasis. Laparoscopic low anterior resection with total mesorectal excision was performed. The rectum was transected with endoscopic stapler and a double stapling anastomosis with a circular stapler was attempted. The spear of the circular stapler pierced through the rectal stump and attempt to remove the spear by pulling the suture attached to the spear failed. A pair of strong laparoscopic forceps was used in an attempt to remove the spear. The spear broke during the attempt of removal. The stapler was withdrawn through the anus with a pair of laparoscopic forceps following it. A new circular stapler was used and the tip was tied to a suture and cotton tape. The pair of forceps, which was still at the anus, was used to pull the cotton tape and the suture through the original perforation at the rectal stump. The tip of the spear of the new stapler was guided through the original perforation of the rectal stump. Double stapling was then performed and the patient recovered uneventfully. This case showed that stapler complication in laparoscopic surgery could be salvaged without conversion. © 2009 by Lippincott Williams & Wilkins.
Persistent Identifierhttp://hdl.handle.net/10722/172998
ISSN
2015 Impact Factor: 1.019
2015 SCImago Journal Rankings: 0.574

 

DC FieldValueLanguage
dc.contributor.authorFan, JKMen_US
dc.contributor.authorLo, CSYen_US
dc.contributor.authorLaw, WLen_US
dc.date.accessioned2012-10-30T06:26:20Z-
dc.date.available2012-10-30T06:26:20Z-
dc.date.issued2009en_US
dc.identifier.citationSurgical Laparoscopy, Endoscopy And Percutaneous Techniques, 2009, v. 19 n. 5, p. e210en_US
dc.identifier.issn1530-4515en_US
dc.identifier.urihttp://hdl.handle.net/10722/172998-
dc.description.abstractWe report a 70-year-old lady who suffered from carcinoma of rectum with the lowest border of the tumor at 5cm from the anal verge. Preoperative staging did not show any distant metastasis. Laparoscopic low anterior resection with total mesorectal excision was performed. The rectum was transected with endoscopic stapler and a double stapling anastomosis with a circular stapler was attempted. The spear of the circular stapler pierced through the rectal stump and attempt to remove the spear by pulling the suture attached to the spear failed. A pair of strong laparoscopic forceps was used in an attempt to remove the spear. The spear broke during the attempt of removal. The stapler was withdrawn through the anus with a pair of laparoscopic forceps following it. A new circular stapler was used and the tip was tied to a suture and cotton tape. The pair of forceps, which was still at the anus, was used to pull the cotton tape and the suture through the original perforation at the rectal stump. The tip of the spear of the new stapler was guided through the original perforation of the rectal stump. Double stapling was then performed and the patient recovered uneventfully. This case showed that stapler complication in laparoscopic surgery could be salvaged without conversion. © 2009 by Lippincott Williams & Wilkins.en_US
dc.languageengen_US
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.surgical-laparoscopy.comen_US
dc.relation.ispartofSurgical Laparoscopy, Endoscopy and Percutaneous Techniquesen_US
dc.rightsSurgical Laparoscopy, Endoscopy and Percutaneous Techniques. Copyright © Lippincott Williams & Wilkins.-
dc.subject.meshAgeden_US
dc.subject.meshAnastomosis, Surgical - Adverse Effectsen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshLaparoscopy - Adverse Effectsen_US
dc.subject.meshRectal Neoplasms - Surgeryen_US
dc.subject.meshRectum - Surgeryen_US
dc.subject.meshSurgical Stapling - Adverse Effectsen_US
dc.titleA rare complication of laparoscopic low anterior resectionen_US
dc.typeArticleen_US
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hken_US
dc.identifier.authorityLaw, WL=rp00436en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1097/SLE.0b013e3181ab9454en_US
dc.identifier.pmid19851255-
dc.identifier.scopuseid_2-s2.0-74949086632en_US
dc.identifier.hkuros168576-
dc.identifier.volume19en_US
dc.identifier.issue5en_US
dc.identifier.spagee210en_US
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridFan, JKM=23484820100en_US
dc.identifier.scopusauthoridLo, CSY=36090047300en_US
dc.identifier.scopusauthoridLaw, WL=7103147867en_US

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