Lirici M M, Buess G, Melzer A, Weinreich S, Wehrmann M, Becker H D
Department of Surgery, Eberhard Karls Universität, Tübingen, Germany.
Br J Surg. 1993 Dec;80(12):1606-9. doi: 10.1002/bjs.1800801240.
A combination of laparoscopic and rectoscopic procedures has enabled complete resection of the sigmoid colon and eliminated the need for minilaparotomy when constructing the anastomosis or withdrawing the specimen. This combined procedure was performed in different ways in a series of animal models until the definitive technique had been standardized. These techniques were then successfully used in 15 consecutive medium-sized pigs. Histological evaluation of the specimens, including the anastomosis (examined 2-3 weeks after operation) confirmed the efficacy and safety of the method.
腹腔镜和直肠镜手术相结合能够完整切除乙状结肠，并且在构建吻合口或取出标本时无需进行小型剖腹术。在一系列动物模型中，这种联合手术以不同方式进行，直到确定的技术标准化。然后，这些技术成功应用于15只连续的中型猪。对标本（包括吻合口，在术后2至3周进行检查）的组织学评估证实了该方法的有效性和安全性。
