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Peroral traction-assisted natural orifice trans-anal flexible endoscopic rectosigmoidectomy followed by intracorporeal colorectal anastomosis in a live porcine model

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World Journal of Gastrointestinal Endoscopy 2020年第11期12卷 451-458页

作者： Hong Shi Su-Yu Chen Zhao-Fei Xie Rui Huang Jia-Li Jiang Juan Lin Fang-Fen Dong Jia-Xiang Xu Zhi-LiFang Jun-Jie Bai Ben Luo Department of Digestive Endoscopy Fujian Cancer HospitalFujian Medical University Cancer HospitalFuzhou 350014Fujian ProvinceChina School of Medical Technology and Engineering Fujian Medical UniversityFuzhou 350122Fujian ProvinceChina School of Clinical Medicine Fujian Medical UniversityFuzhou 350122Fujian ProvinceChina

BACKGROUND Compared to traditional open surgery,laparoscopic surgery has become a standard approach for colorectal cancer due to its great superiorities including less postoperative pain,a shorter hospital stay,and better quality of *** 2007,Whiteford et al reported the first natural orifice trans-anal endoscopic surgery(NOTES)sigmoidectomy using transanal endoscopic *** date,all cases of NOTES colorectal resection have included a hybrid laparoscopic approach with the use of established rigid *** To introduce a novel technique of peroral external traction-assisted transanal NOTES rectosigmoidectomy followed by intracorporeal colorectal end-to-end anastomosis by using only currently available and flexible endoscopic instrumentation in a live porcine *** Three female pigs weighing 25-30 kg underwent NOTES rectosigmoid *** preoperative work-up and bowel preparation,general anesthesia combined with endotracheal intubation was *** dual-channel therapeutic endoscope was *** dioxide insufflation was performed during the *** procedure of trans-anal NOTES rectosigmoidectomy included the following eight steps:(1)The rectosigmoid colon was tattooed with India ink by submucosal injection;(2)Creation of gastrostomy by directed submucosal tunneling;(3)Peroral external traction using endoloop ligation;(4)Creation of rectostomy on the anterior rectal wall by directed 3 cm submucosal tunneling;(5)Peroral external traction-assisted dissection of the left side of the colon;(6)Transanal rectosigmoid specimen transection,where an anvil was inserted into the proximal segment after purse-string suturing;(7)Intracorporeal colorectal end-toend anastomosis using a circular stapler by a single stapling technique;and(8)Closure of gastrostomy using endoscopic *** animals were euthanized immediately after the procedure,abdominal exploration was performed,and the air-under-water leak test was carried *** The

关键词： Transanal Natural orifice trans-anal endoscopic surgery rectosigmoidectomy Intracorporeal anastomosis External traction

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Perineal rectosigmoidectomy for strangled rectal prolapse:A case report

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Case Reports in Clinical Medicine 2014年第1期3卷 64-66页

作者： Alpha Oumar Toure Cheikh Tidiane Diop Fode Baba Toure Thomas Marcel M.Wade Gabriel Ngom Department of General Surgery Regional Hospital of OurossoguiOurossoguiSenegal Department of Pediatric Surgery Aristide Le Dantec HospitalDakarSenegal

Strangled rectal prolapse, the rare disease, is a proctological emergency. Its management is controversial. When it is not reducible and signs of ischemia are present, the Altemeierperineal rectosigmoidectomy remains the best treatment. This study aimed to report our experience on the management of strangled rectal prolapse about 1 case in a 45-year-old man, a holder of a rectal prolapse for 2 years. On admission, he had strangled prolapse for 24 hours with edema. After a vain attempt of manual reduction and installation of necrosis after 48 hours, he had an Altemeier rectosigmo?dectomy. The postoperative course was uneventful and the patient was discharged on the 6th postoperative day. The results were very good, after one year follow-up.

关键词： Strangled Rectal Prolapsed Altemeier rectosigmoidectomy

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Strangulated ileal trans-coloanal-anastomotic hernia:A complication of Altemeier's procedure previously never reported

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World Journal of Gastroenterology 2013年第5期19卷 776-777页

作者： Maria Di Lena Emanuele Angarano Ivana Giannini Altomarino Guglielmi Donato Francesco Altomare Department of Emergency and Organ Transplantation University"Aldo Moro"of Bari70124 BariItaly

A postoperative complication after Altemeier operation, so far never reported,is described in a 42 years old mentally disabled patient with external full thickness rectal prolapse who usually had prolonged straining at *** 6 d from perineal rectosigmoidectomy, the patient,was discharged free of *** days later he was readmitted in emergency for stran-gulated perineal trans-anastomotic ileal hernia that occurred at home during efforts to *** clinical feature required an emergency operation for repositioning the ileal loops into the abdomen,resection of the necrotic ileum,and end *** outcome of the second operation was free of complication and the patient was discharged on the 6th postoperative *** conclusion,after Altemeier operation prolonged straining at defecation should be carefully

关键词： Rectal prolapsed Perineal rectosigmoidectomy Altemeier’s procedure Complication Hernia

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