Fully Laparoscopic Colorectal Anastomosis Involving Percutaneous Endoluminal Colonic Anvil Control (PECAC)

Leroy, Joël; Costantino, Federico; Ra, Chisei; Donnatelli, G.F.; Kawai, Masaya; Wu, Ho Sheng; Marescaux, Jacques

doi:10.1177/1553350610371335

Cited by 20 publications

(25 citation statements)

References 11 publications

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“…Each intraoperative step was accomplished with confidence, similar to standard multiport laparoscopy. These results are in accordance with those reported in the literature: the use of the “glove-port” has been reported previously in general surgery [13–15] studies as in others specialities; in some papers it is moving from single-case descriptions to case series [16, 17]. …”

Section: Discussionsupporting

confidence: 91%

Glove Technique in Single-Port Access Laparoscopic Surgery: Results of an Initial Experience

Livraghi

Berselli

Bianchi

et al. 2012

Minimally Invasive Surgery

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Introduction. Single-incision laparoscopic surgery (SILS) is a virtually “scarless” technique. A retrospective analysis is performed to evaluate an initial experience of this surgical approach. Materials and Methods. From January 2010 to October 2011, SILS was considered as a minimally invasive approach to abdominal disease. The access was made by a standard wound protector and a size 6 glove. A series of little accesses were made on the tips of the glove-fingers to induce pneumoperitoneum and to create a working channel for the laparoscopic instruments. An analysis of costs of this technique was made too. Results. SILS was successfully completed with low cost in 34 patients: 20 appendectomy, 12 cholecystectomy, and 2 right colectomy were performed with a median operative time of 35, 45, and 67.5 minutes, respectively. In no patient any conversion to standard laparoscopy or to open surgery was needed. The postoperative course was uneventful in all patients. In right hemicolectomy, the oncological parameters were respected. Conclusions. In this paper the glove-port technique showed multiple advantages. The SILS is a feasible approach for some pathologies in selected patients. The glove-port is a simple, low-cost, reproducible, and sure method to perform SILS in a high-experienced laparoscopic surgical centre.

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Section: Discussionsupporting

confidence: 91%

Glove Technique in Single-Port Access Laparoscopic Surgery: Results of an Initial Experience

Livraghi

Berselli

Bianchi

et al. 2012

Minimally Invasive Surgery

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“…11 Furthermore, as a preparatory step toward NOTES® colorectal procedures, we conceived a technical trick to achieve a percutaneous endoluminal control position of the anvil in virtually all the segments of the colon (PECAC). 12 We used this technique to perform a single port sigmoidectomy with transabdominal specimen extraction and a triport sigmoidectomy with transanal specimen extraction.…”

Section: Introductionmentioning

confidence: 99%

Laparo-Endoscopic Single-Site (LESS) with Transanal Natural Orifice Specimen Extraction (NOSE) Sigmoidectomy: A New Step before Pure Colorectal Natural Orifices Transluminal Endoscopic Surgery (NOTES®)

Leroy

Diana

Wall

et al. 2011

Journal of Gastrointestinal Surgery

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“…The use of the 'glove-port' has been reported previously in both in this [12][13][14] and other specialities and in such allied fields it is moving beyond single case descriptions to case series [15,16]. In our department, we started using this technique in standard multiport laparoscopic anterior resection during the formation of the colorectal anastomosis after specimen extraction through the umbilicus (also our preferred location for siting a 10 mm camera during the laparoscopic mobilisation stage of the procedure).…”

Section: Discussionmentioning

confidence: 93%

Step-wise integration of single-port laparoscopic surgery into routine colorectal surgical practice by use of a surgical glove port

et al. 2011

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This simple, efficient device can allow use of single-port laparoscopy in a broader spectrum of patients either in isolation or in combination with multiport surgery than may be otherwise possible for economic reasons. By separating issues of cost from utility, the usefulness of the technical advance inherent within single-port laparoscopy for colorectal surgery can be better appreciated. We endorse the creative innovation inherent in this approach as surgical practice continues to evolve for ever greater patient benefit.

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Fully Laparoscopic Colorectal Anastomosis Involving Percutaneous Endoluminal Colonic Anvil Control (PECAC)

Abstract: By positioning the anvil without colon exteriorization, this technique enables pure intraperitoneal colonic anastomoses that may advance natural orifice operating.

Cited by 20 publications

References 11 publications

Glove Technique in Single-Port Access Laparoscopic Surgery: Results of an Initial Experience

Glove Technique in Single-Port Access Laparoscopic Surgery: Results of an Initial Experience

Laparo-Endoscopic Single-Site (LESS) with Transanal Natural Orifice Specimen Extraction (NOSE) Sigmoidectomy: A New Step before Pure Colorectal Natural Orifices Transluminal Endoscopic Surgery (NOTES®)

Step-wise integration of single-port laparoscopic surgery into routine colorectal surgical practice by use of a surgical glove port

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