Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2015
Optimal dissection for transanal total mesorectal excision using modified CO2 insufflation and smoke extraction.
СтатьяTechnical ReportНазвание и аннотация: Перевод пока не подготовлен
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Nicholson G, Knol J, Houben B, Cunningham C, Ashraf S, Hompes R
Аннотация
AIM: The new approach of transanal total mesorectal excision is technically challenging and demands a stable field of dissection with optimal view of anatomical landmarks. We aimed to describe and demonstrate a modification of both the insufflation of carbon dioxide and smoke evacuation, in order to optimize dissection.
METHOD: The comparison of standard insufflation to an AirSeal platform demonstrates a clear difference. This is shown in the accompanying video-recordings.
RESULTS: A more stable pneumorectum and better smoke evacuation as well as more convenient and precise dissection were achieved with the AirSeal platform.
CONCLUSION: Using the technique outlined, the operating surgeon is able to perform the surgical dissection in a stable operating environment with increased visibility compared to the standard approach.
METHOD: The comparison of standard insufflation to an AirSeal platform demonstrates a clear difference. This is shown in the accompanying video-recordings.
RESULTS: A more stable pneumorectum and better smoke evacuation as well as more convenient and precise dissection were achieved with the AirSeal platform.
CONCLUSION: Using the technique outlined, the operating surgeon is able to perform the surgical dissection in a stable operating environment with increased visibility compared to the standard approach.