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Title: Intracorporeal rectal stapling following laparoscopic total mesorectal excision: overcoming a challenge
Authors: Brannigan, A E ×
De Buck, Stijn
Suetens, Paul
Penninckx, Freddy
D'Hoore, André #
Issue Date: Jun-2006
Publisher: Springer International
Series Title: Surgical Endoscopy: Ultrasound and Interventional Techniques vol:20 issue:6 pages:952-955
Abstract: BACKGROUND: Division of the rectum following total mesorectal excision (TME) using intracorporeal stapling devices is technically difficult due to their width and limited roticulation. More than one cartridge is often required and resultant wedging of the stump may be associated with an appreciable leak rate. METHODS: Three-dimensional reconstruction was performed of CT and MRI images from the lower abdomen of six patients undergoing laparoscopic TME using the Amira software environment. The stapling device was virtually reconstructed by in-house developed software, superimposed over the point of division of the rectum and the site of skin entry identified. RESULTS: The 45 degrees angulation of available roticulating stapling devices precludes perpendicular division of the rectum following laparoscopic TME. The optimal angulation for transverse rectal stapling varied between 62 degrees and 68 degrees . CONCLUSION: A roticulating stapler with minimum angulation of 65 degrees would achieve transverse division of the rectum following laparoscopic TME.
Description: Brannigan A.E., De Buck S., Suetens P., Penninckx F., D’Hoore A., ''Intracorporeal rectal stapling following laparoscopic total mesorectal excision'', Surgical endoscopy and other interventional techniques, vol. 20, no. 6, pp. 952-955, June 2006.
URI: 
ISSN: 0930-2794
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Abdominal Surgical Oncology
Radiology
ESAT - PSI, Processing Speech and Images
Cardiology
× corresponding author
# (joint) last author

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