• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Strategic Plan, 2020-2023
    • Committees
      • Descriptions and Video Updates
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • COVID-19 Announcements
    • SAGES 2020 Meeting Information
    • 2021 Scientific Session Call For Abstracts
    • 2021 Emerging Technology Session Call For Abstracts
    • 2018 Prevent BDI Consensus Conference
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • Leadership Development and Health Policy Conference Videos
      • SAGES Quality Summit Meeting
      • SAGES 2019
      • SAGES 2018
      • SAGES 2017
      • SAGES 2016
      • SAGES 2015
      • SAGES 2014
      • SAGES 2013
    • Related Meetings Calendar
  • Membership
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • COVID-19 Annoucements
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • Troubleshooting Guides
  • Education
    • SAGES.TV Video Library
    • Virtual Hernia Clinic
    • The SAGES Safe Cholecystectomy Program
    • The Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • The SAGES HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Endorsed Courses
    • SAGES Robotics Fellows Courses
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Educational Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES Quality Initiative
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • SAGES Research Opportunities
    • SAGES Endorsed Courses
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
    • Fellowship Certification
  • Search
    • COVID-19 Announcements
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Blog
    • All Blog Posts
    • COVID-19
    • Notes from the Battlefield
    • A (Positive) Way Forward
    • President Posts
  • Log In

Laparoscopic Colectomy with Intracorporeal Anastomosis for Colon Cancer

Fumihiko Fujita, MD, PhD, Takehiro Mishima, MD, PhD, Shinichiro Ito, MD, Tomohiko Adachi, MD, PhD, Akihiko Soyama, MD, PhD, Yasuhiro Torashima, MD, PhD, Amane Kitazato, MD, PhD, Taichiro Kosaka, MD, PhD, Kosho Yamanouchi, MD, PhD, Shigeki Minami, MD, PhD, Kengo Kanetaka, MD, PhD, Mitsuhisa Takatsuki, MD, PhD, Tamotsu Kuroki, MD, PhD, Susumu Eguchi, MD, PhD

Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences

INTRODUCTION: Conventional laparoscopic assisted colon surgery for cancer requires at least a 5 cm skin incision for the extraction of the specimen and the ensuing anastomosis. However, for selected cases, we performed laparoscopic colon resection with an intracorporeal anastomosis, thus allowing for the use of a small abdominal incision. We herein present our technique for the intracorporeal anastomosis and our preliminary results.

METHODS AND PROCEDURES: We retrospectively collected the data, and analyzed the patients who underwent laparoscopic colectomy from February 2011 to May 2012. The intracorporeal anastomotic method was selectively performed only for early-stage colon cancer. The surgical technique was as follows. Four or five trocars were used, and the surgeon uses a 2 mm in diameter grasper with the left hand. First, the lesion lymph nodes are dissected with a non-touch isolation technique. The mesentery is dissected using an ultrasound cutting devise. The lesion of the colon is transected using a linear stapler with adequate margins on both the oral and anal cut ends. Both sides of the bowel are brought together to lie side by side. A laparoscopic linear cutting stapler is deployed through the bowel opening, to form a side-to-side anastomosis. The enterotomy is closed with full thickness 3-0 vicryl continuous suture, and a seromuscular continuous suture is added. If a wide unclosed mesenteric window remains, it should be closed by suturing. The resected specimen enclosed in a bag can be extracted through one of the trocar sites without laparotomy. We compared the results of the intracorporeal anastomosis with extracorporeal anastomosis, and analyzed the data for statistical significance.

RESULTS: Laparoscopic intracorporeal anastomosis was successfully performed for nine consecutive patients (five male and four female). The average age was 63.4 years, and the locations of the tumors were five in the sigmoid colon, two in the descending colon, one in the ascending colon and one in the cecum. The average length of the operation was 220.3 minutes, and the estimated blood loss was 22 ml. Although one case was complicated by a wound infection, there were no major complications, such as anastomotic leakage. During the same period, there were six cases of laparoscopic colectomy with extracorporeal anastomosis performed by the same surgeon. Intracorporeal anastomosis was not inferior to extracorporeal anastomosis in terms of the length of the operation and estimated blood loss.

CONCLUSIONS: The laparoscopic intracorporeal anastomotic method can thus be performed safely, and has the benefit of inducing minimal abdominal wounding in comparison to extracorporeal anastomosis.


Session: Poster Presentation

Program Number: P055

Post Views: 2,577

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2013 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Free SAGES Webinar: Lessons from COVID on Living and Thriving as Surgeons

SAGES recognizes that the COVID-19 pandemic has had a big impact on surgical practice and in surgeon wellness. SAGES’ Reimagining the Practice of Surgery Taskforce will present “Finding the Opportunities: Lessons from COVID and How We Live and Thrive as Surgeons”  to look at ways in which innovative leadership at various levels may help transform […]

Daniel Herron, MD

An opportunity to slow down and appreciate the small joys in life

Dan Herron, MD shares insights with Dana Telem, MD on lessons learned from COVID-19 Fear, anxiety and uncertainty has dominated the first half of 2020. Never before have we, as healthcare providers, been asked to do so much with so little—whether it’s resources like personal protective equipment, dusting off skills related to critical care, or […]

covid testing stock

Notes from the Battlefield – May 14, 2020

Coronavirus Global Surgical Collaborative (CVGSC)* An initiative sponsored by SAGES in collaboration with EAES, AEC, KSELS, and ELSA A group of surgical leaders from affected countries have joined to discuss what they are learning during this Covid-19 Global crisis. The following is a brief summary of what they feel may be useful information to disseminate to the surgical […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Newsletter Subscription

  • This field is for validation purposes and should be left unchanged.

Important Links

SAGES 2020 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

[footer_backtotop] · Log in

Copyright © 2021 Society of American Gastrointestinal and Endoscopic Surgeons · Legal
· Managed by BSC Management, Inc