Colonic delta-shaped anastomosis using linear staplers in laparoscopic colectomy

Tajima, Jesse Yu; Nagayama, Satoshi; Hiyoshi, Yukiharu; Mukai, Toshiki; Nagasaki, Toshiya; Yamaguchi, Toshiharu; Akiyoshi, Takashi; Konishi, Tsuyoshi; Fukunaga, Yosuke

doi:10.1007/s10151-020-02341-3

Cited by 11 publications

(7 citation statements)

References 5 publications

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“…In addition, it seems likely that this procedure is advantageous owing to its minimal requirement of mobilization of the anastomotic intestinal tract as compared to functional endto-end anastomosis or overlap anastomosis. Recently, Tajima et al have reported on the application of this procedure in reconstruction after laparoscopic colectomy in the same manner as gastroduodenostomy, with favorable short-term outcomes [19]. This study suggests that the application of the delta-shaped anastomosis in intestinal reconstruction is feasible.…”

Section: Discussionmentioning

confidence: 79%

Totally laparoscopic resection using delta-shaped anastomosis of jejunal leiomyosarcoma with intussusception at the angle of Treitz: a case report

et al. 2022

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Background A leiomyosarcoma of the gastrointestinal tract is extremely rare. We report a case of jejunal leiomyosarcoma with intestinal intussusception at the angle of Treitz that was successfully treated with laparoscopic resection followed by intracorporeal reconstruction using a delta-shaped anastomosis. Case presentation A 54-year-old man was referred to our hospital due to fatigue and loss of appetite. Blood tests showed anemia. Enteroscopy and subsequent enterography using meglumine sodium amidotrizoate showed easily hemorrhagic tumor (10 cm in diameter) in the jejunum just beyond the angle of Treitz. Contrast-enhanced computed tomography revealed jejunojejunal intussusception. Histopathological examination of a biopsy specimen revealed a leiomyosarcoma. Laparoscopic resection of the tumor without reduction of the intussusception was performed. The resected line of the proximal intestine was very close to the ligament of Treitz in the present case. Intracorporeal jejunojejunostomy was completed using a delta-shaped anastomosis, wherein anastomosis was performed between the posterior walls of the proximal and distal jejunums after minimal mobilization around the ligament of Treitz. The patient’s postoperative course was uneventful, and he was discharged at 10 days postoperatively. No recurrence has been observed within 2 years after surgery. Conclusions We present a case in which a totally laparoscopic surgery for leiomyosarcoma located at the angle of Treitz with jejunojejunal intussusception was performed successfully.

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Section: Discussionmentioning

confidence: 79%

Totally laparoscopic resection using delta-shaped anastomosis of jejunal leiomyosarcoma with intussusception at the angle of Treitz: a case report

et al. 2022

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“…Among the intracorporeal anastomotic procedures, delta-shaped anastomosis has been introduced as a simple and safe procedure. 11 However this procedure was originally based on side-to-side anastomosis as a kind of functional end-to-end anastomosis. In order to make pure end-to-end anastomosis keeping with physiological formation, we modified the procedure of the functional end-to-end anastomosis to our procedure.…”

Section: Discussionmentioning

confidence: 99%

“…Since our patient was older, frail, and had dysphagia, we decided to perform a totally laparoscopic colectomy. Among the intracorporeal anastomotic procedures, delta‐shaped anastomosis has been introduced as a simple and safe procedure 11 . However this procedure was originally based on side‐to‐side anastomosis as a kind of functional end‐to‐end anastomosis.…”

Section: Discussionmentioning

confidence: 99%

Totally laparoscopic colectomy with intracorporeal anastomosis for colonic liposarcoma: A case report

Fujii

Okita

Tsukuda

et al. 2022

Asian J Endoscop Surgery

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Liposarcoma is a type of soft tissue sarcoma. Primary colonic liposarcomas are extremely rare. An 86-year-old man with diarrhea and anorexia visited our outpatient clinic at Okayama City Hospital. Colonoscopy and computed tomography imaging revealed a large submucosal tumor in the descending colon with a maximum diameter of approximately 10 cm. He underwent totally laparoscopic left hemicolectomy with intracorporeal anastomosis. The histopathological diagnosis was a well-differentiated liposarcoma without lymph node metastases. The patient's postoperative course was uneventful. We herein report a rare case of totally laparoscopic colectomy with intracorporeal anastomosis in an elderly patient with colonic liposarcoma.

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“…Recently, deltashaped anastomosis has been introduced for intracorporeal anastomosis at laparoscopic colectomy with the benefits of simplicity and safety. 9 This procedure was considered to be originally based on side-to-side anastomosis as a kind of functional end-to-end anastomosis. On the other hand, triangulating stapling techniques are pure end-to-end anastomosis keeping with physiological formation and considered to be acceptable from the above-mentioned experimental or laparotomic results.…”

Section: Discussionmentioning

confidence: 99%

“…However, this methods required at least five staplers and its cost was expensive compared with other intracorporeal stapled anastomoses, which was the biggest issue. Recently, delta‐shaped anastomosis has been introduced for intracorporeal anastomosis at laparoscopic colectomy with the benefits of simplicity and safety 9 . This procedure was considered to be originally based on side‐to‐side anastomosis as a kind of functional end‐to‐end anastomosis.…”

Section: Discussionmentioning

confidence: 99%

An experience of total laparoscopic partial colectomy with intracorporeal triangulating anastomosis in an obese patient with descending colon cancer

Okita

Tsukuda

Yamamoto

et al. 2021

Asian J Endoscop Surgery

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A 68‐year‐old woman was transferred to the emergency room of Okayama City Hospital because of worsening epigastric pain. After the examination, she was diagnosed with descending colon cancer, and laparoscopic colectomy was planned. However, exteriorization of the bowels to produce anastomosis was difficult because the rich adipose tissue of the mesocolon hardly stretched, and the abdominal wall was thick as the patient was obese. Therefore, an intracorporeal triangulating end‐to‐end anastomosis was performed. The colon was divided at 10 cm either side from the tumor using an endoscopic linear stapler. After the resection of the stumps with staples, the posterior walls were tied with stay sutures and then stapled with an endoscopic linear stapler. The anterior wall was stapled twice in the same manner, and the intracorporeal anastomosis was completed. The patient's postoperative course was uneventful. This technique provided an alternative intracorporeal anastomotic technique as troubleshooting in laparoscopic colectomy.

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Colonic delta-shaped anastomosis using linear staplers in laparoscopic colectomy

Cited by 11 publications

References 5 publications

Totally laparoscopic resection using delta-shaped anastomosis of jejunal leiomyosarcoma with intussusception at the angle of Treitz: a case report

Totally laparoscopic resection using delta-shaped anastomosis of jejunal leiomyosarcoma with intussusception at the angle of Treitz: a case report

Totally laparoscopic colectomy with intracorporeal anastomosis for colonic liposarcoma: A case report

An experience of total laparoscopic partial colectomy with intracorporeal triangulating anastomosis in an obese patient with descending colon cancer

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