Ganchrow M I, Facelle T L
Department of Surgery, New York Medical College, Valhalla.
Am J Surg. 1993 Jul;166(1):54. doi: 10.1016/s0002-9610(05)80582-3.
A method is described for achieving proper distal margins in low-lying rectal lesions after initial resection indicates that these may be inadequate. The roticulator is kept on the distal rectal stump until the specimen has been examined. If additional margins are required, a second roticulator is placed distal to the first so that an intervening amount of tissue can be safely resected for adequate margins.
本文描述了一种方法,用于在初次切除显示低位直肠病变的远端切缘可能不足后实现合适的远端切缘。在标本检查之前,将吻合器保持在直肠远端残端上。如果需要额外的切缘,则在第一个吻合器的远端放置第二个吻合器,以便可以安全地切除中间的一定量组织以获得足够的切缘。