Lezoche E, Paganini A M, Feliciotti F
Divisione di Patologia Chirurgica, Ospedale Umberto I, Università degli Studi di Ancona, Italy.
Surg Laparosc Endosc. 1997 Feb;7(1):9-12.
To make laparoscopic low rectal resection feasible and technically correct, an articulating stapler made for open surgery was employed during laparoscopic low rectal resection in two patients with rectal tumors whose distal margins were located at 7 and 8 cm, respectively, from the dentate line. The problem with laparoscopic linear staplers is that they do not allow transverse resection of low rectal tumors with a double-stapling technique, placing the suture line in an exactly perpendicular position to the rectum below the tumor. The use of this stapler made for open surgery allows extension of the laparoscopic approach to low-lying rectal lesions following established surgical and oncological principles.
为使腹腔镜低位直肠切除术可行且技术正确，在两名直肠肿瘤患者的腹腔镜低位直肠切除术中，使用了一种用于开放手术的关节式吻合器，这两名患者的肿瘤远端切缘分别距齿状线7厘米和8厘米。腹腔镜线性吻合器的问题在于，它们不允许采用双吻合技术横向切除低位直肠肿瘤，无法将缝合线置于肿瘤下方与直肠完全垂直的位置。使用这种用于开放手术的吻合器，可遵循既定的外科和肿瘤学原则，将腹腔镜手术方法扩展至低位直肠病变。
