Nepal Pramod, Mori Shinichiro, Kita Yoshiaki, Tanabe Kan, Baba Kenji, Sasaki Ken, Kurahara Hiroshi, Arigami Takaaki, Maemura Kosei, Ohtsuka Takao, Natsugoe Shoji
Department of Digestive Surgery, Breast and Thyroid Surgery, Graduate School of Medicine, Kagoshima University, Kagoshima, Japan.
J Anus Rectum Colon. 2021 Jan 28;5(1):107-111. doi: 10.23922/jarc.2020-013. eCollection 2021.
Here, we describe the modified delta-shaped anastomosis (DSA) via the overlap method and how it was a beneficial intracorporeal anastomotic technique for four patients who underwent laparoscopic colectomy. After resecting the colon on both sides of the lesion, proximal and distal colon were laid in an overlap fashion and fixed using sutures. The entry hole was created using an ultrasound scalpel at a point 3 cm proximal to right colic stump and 7 cm distal to left colic stump on the anti-mesenteric side. Then, two arms of the linear stapler were inserted inside each lumen and fired. Finally, using the linear stapler, the common entry hole was closed in a delta-shaped manner. The mean duration of surgery was determined to be 218.4 (196-369) minutes, and amount of blood loss was measured to be 11 (5-25) mL. No intraoperative and postoperative complications were observed. Median postoperative hospital stay was 12 days. Thus, modified DSA via overlap method can be considered as a safe and simple IA technique.
在此，我们描述了通过重叠法进行的改良三角形吻合术（DSA），以及它如何成为4例接受腹腔镜结肠切除术患者的一种有益的体内吻合技术。在切除病变两侧的结肠后，将近端和远端结肠以重叠方式放置并用缝线固定。在距右结肠残端近端3 cm和左结肠残端远端7 cm的反肠系膜侧，使用超声刀制作入口孔。然后，将线性吻合器的两个臂插入每个肠腔内并击发。最后，使用线性吻合器以三角形方式关闭共同入口孔。手术平均持续时间确定为218.4（196 - 369）分钟，失血量测量为11（5 - 25）mL。未观察到术中及术后并发症。术后中位住院时间为12天。因此，通过重叠法进行的改良DSA可被视为一种安全且简单的体内吻合技术。
