A Y-shaped vinyl hood that creates pneumoperitoneum in laparoscopic rectal cancer surgery (Y-hood method.): a new technique for laparoscopic low anterior resection

Abstract

The Y-Hood method enables operations to be performed within the interior of the pelvis without reducing the number of ports because the instruments can be accessed using minilaparotomy. Because the use of stapling for rectal transection is minimized, this method is effective in avoiding anastomotic leakage and also cost efficient. The Y-Hood method allows for thorough intestinal lavage and safe laparoscopic low anterior resection.

A novel single-stapling technique for colorectal anastomosis: a pre-ligation single-stapling technique (L-SST) in a porcine model

“…Although LAR is a standard surgery, anastomotic leakage remains a problem [1,2] despite that many techniques have been investigated in order to reduce the leakage rate [3]. Anastomotic leakage could lead to local recurrence and a worse prognosis [4].…”

Reducing anastomotic leakage in laparoscopic low anterior resection: is it achievable by a new method?

“…To reduce this leak rate, Fujii and colleagues [3] have developed and propose in the February issue of Surgical Endoscopy a new technique. The authors have tested the safety and efficiency of this method in 28 patients with low-lying rectal cancer and compared the results with those of 107 patients with similar tumor location treated by using multiple stapling for rectal transaction.…”

“…Fujii and colleagues [3] looked at whether their technique, called the Y-Hood method, was safe and more effective in reducing anastomotic leak as compared with the double-stapling technique. The authors developed clamp forceps for intestinal lavage and a Y-shaped vinyl hood that can be operated under pneumoperitoneum for airproof surgery.…”