Cargando…

Laparoscopic technique and safety experience with barbed suture closure for pelvic cavity after abdominoperineal resection

BACKGROUND: Between April 2005 and December 2012, we performed laparoscopic colorectal resection with regional lymph node dissection on 273 cases of colorectal cancer patients. However, Laparoscopic rectal cancer surgery requires a high degree of skill. Any surgeon who is going to embark on these di...

Descripción completa

Detalles Bibliográficos
Autores principales: Matsuhashi, Nobuhisa, Takahashi, Takao, Nonaka, Kenichi, Tanahashi, Toshiyuki, Imai, Hisashi, Sasaki, Yoshiyuki, Tanaka, Yoshihiro, Okumura, Naoki, Yamaguchi, Kazuya, Osada, Shinji, Yoshida, Kazuhiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3685598/
https://www.ncbi.nlm.nih.gov/pubmed/23705750
http://dx.doi.org/10.1186/1477-7819-11-115
_version_ 1782273712033103872
author Matsuhashi, Nobuhisa
Takahashi, Takao
Nonaka, Kenichi
Tanahashi, Toshiyuki
Imai, Hisashi
Sasaki, Yoshiyuki
Tanaka, Yoshihiro
Okumura, Naoki
Yamaguchi, Kazuya
Osada, Shinji
Yoshida, Kazuhiro
author_facet Matsuhashi, Nobuhisa
Takahashi, Takao
Nonaka, Kenichi
Tanahashi, Toshiyuki
Imai, Hisashi
Sasaki, Yoshiyuki
Tanaka, Yoshihiro
Okumura, Naoki
Yamaguchi, Kazuya
Osada, Shinji
Yoshida, Kazuhiro
author_sort Matsuhashi, Nobuhisa
collection PubMed
description BACKGROUND: Between April 2005 and December 2012, we performed laparoscopic colorectal resection with regional lymph node dissection on 273 cases of colorectal cancer patients. However, Laparoscopic rectal cancer surgery requires a high degree of skill. Any surgeon who is going to embark on these difficult resections should have at a minimum laparoscopic suturing skills in order to be able to close the peritoneal defect. METHODS: In laparoscopic surgery for rectal cancer, the intracorporeal suture technique required to close the pelvic cavity is very difficult. Barbed sutures have recently been proposed to facilitate laparoscopic suturing. Two patients with rectal cancer who underwent laparoscopic abdominoperineal resection (APR) with intracorporeal closure of the pelvic cavity from September to October 2012 were enrolled in this study. RESULTS: We present our initial experience of two consecutive cases of intracorporeal closure of the pelvic cavity by totally laparoscopic APR. After clinical follow-up, the two patients have no complaints and have shown no signs of recurrence. CONCLUSIONS: We hypothesized that barbed sutures could potentially improve the efficiency of intracorporeal closure of the pelvic cavity after laparoscopic APR. Further, we expect that use of the V-Loc™ will reduce intra-operative stress on the endoscopic surgeon.
format Online
Article
Text
id pubmed-3685598
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-36855982013-06-19 Laparoscopic technique and safety experience with barbed suture closure for pelvic cavity after abdominoperineal resection Matsuhashi, Nobuhisa Takahashi, Takao Nonaka, Kenichi Tanahashi, Toshiyuki Imai, Hisashi Sasaki, Yoshiyuki Tanaka, Yoshihiro Okumura, Naoki Yamaguchi, Kazuya Osada, Shinji Yoshida, Kazuhiro World J Surg Oncol Technical Innovations BACKGROUND: Between April 2005 and December 2012, we performed laparoscopic colorectal resection with regional lymph node dissection on 273 cases of colorectal cancer patients. However, Laparoscopic rectal cancer surgery requires a high degree of skill. Any surgeon who is going to embark on these difficult resections should have at a minimum laparoscopic suturing skills in order to be able to close the peritoneal defect. METHODS: In laparoscopic surgery for rectal cancer, the intracorporeal suture technique required to close the pelvic cavity is very difficult. Barbed sutures have recently been proposed to facilitate laparoscopic suturing. Two patients with rectal cancer who underwent laparoscopic abdominoperineal resection (APR) with intracorporeal closure of the pelvic cavity from September to October 2012 were enrolled in this study. RESULTS: We present our initial experience of two consecutive cases of intracorporeal closure of the pelvic cavity by totally laparoscopic APR. After clinical follow-up, the two patients have no complaints and have shown no signs of recurrence. CONCLUSIONS: We hypothesized that barbed sutures could potentially improve the efficiency of intracorporeal closure of the pelvic cavity after laparoscopic APR. Further, we expect that use of the V-Loc™ will reduce intra-operative stress on the endoscopic surgeon. BioMed Central 2013-05-27 /pmc/articles/PMC3685598/ /pubmed/23705750 http://dx.doi.org/10.1186/1477-7819-11-115 Text en Copyright ©2013 Matsuhashi et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Technical Innovations
Matsuhashi, Nobuhisa
Takahashi, Takao
Nonaka, Kenichi
Tanahashi, Toshiyuki
Imai, Hisashi
Sasaki, Yoshiyuki
Tanaka, Yoshihiro
Okumura, Naoki
Yamaguchi, Kazuya
Osada, Shinji
Yoshida, Kazuhiro
Laparoscopic technique and safety experience with barbed suture closure for pelvic cavity after abdominoperineal resection
title Laparoscopic technique and safety experience with barbed suture closure for pelvic cavity after abdominoperineal resection
title_full Laparoscopic technique and safety experience with barbed suture closure for pelvic cavity after abdominoperineal resection
title_fullStr Laparoscopic technique and safety experience with barbed suture closure for pelvic cavity after abdominoperineal resection
title_full_unstemmed Laparoscopic technique and safety experience with barbed suture closure for pelvic cavity after abdominoperineal resection
title_short Laparoscopic technique and safety experience with barbed suture closure for pelvic cavity after abdominoperineal resection
title_sort laparoscopic technique and safety experience with barbed suture closure for pelvic cavity after abdominoperineal resection
topic Technical Innovations
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3685598/
https://www.ncbi.nlm.nih.gov/pubmed/23705750
http://dx.doi.org/10.1186/1477-7819-11-115
work_keys_str_mv AT matsuhashinobuhisa laparoscopictechniqueandsafetyexperiencewithbarbedsutureclosureforpelviccavityafterabdominoperinealresection
AT takahashitakao laparoscopictechniqueandsafetyexperiencewithbarbedsutureclosureforpelviccavityafterabdominoperinealresection
AT nonakakenichi laparoscopictechniqueandsafetyexperiencewithbarbedsutureclosureforpelviccavityafterabdominoperinealresection
AT tanahashitoshiyuki laparoscopictechniqueandsafetyexperiencewithbarbedsutureclosureforpelviccavityafterabdominoperinealresection
AT imaihisashi laparoscopictechniqueandsafetyexperiencewithbarbedsutureclosureforpelviccavityafterabdominoperinealresection
AT sasakiyoshiyuki laparoscopictechniqueandsafetyexperiencewithbarbedsutureclosureforpelviccavityafterabdominoperinealresection
AT tanakayoshihiro laparoscopictechniqueandsafetyexperiencewithbarbedsutureclosureforpelviccavityafterabdominoperinealresection
AT okumuranaoki laparoscopictechniqueandsafetyexperiencewithbarbedsutureclosureforpelviccavityafterabdominoperinealresection
AT yamaguchikazuya laparoscopictechniqueandsafetyexperiencewithbarbedsutureclosureforpelviccavityafterabdominoperinealresection
AT osadashinji laparoscopictechniqueandsafetyexperiencewithbarbedsutureclosureforpelviccavityafterabdominoperinealresection
AT yoshidakazuhiro laparoscopictechniqueandsafetyexperiencewithbarbedsutureclosureforpelviccavityafterabdominoperinealresection