Use of a linear stapler for urethral and dorsal vein complex transection during laparoscopic total pelvic exenteration in rectal cancer

Video correspondence: The novel transanal staple transection of the vesicohypogastric fascia for total pelvic exenteration in rectal cancer—A video vignette

“…Batch processing of dorsal vascular complex with a stapler using the transanal approach has been reported, which is expected to reduce operating time and blood loss [5][6][7]. In this study, we describe the transanal novel staple transection of the vesicohypogastric fascia including the inferior vesical vessels (IVVs).…”

Staple‐transection of the dorsal venous complex and urethra in cooperative laparoscopic and transperineal endoscopic total pelvic exenteration for pelvic malignancies

“…5 However, only few reports have described using a linear stapler for dissecting the DVC and urethra during surgery for rectal cancer. 6 The combination of transanal minimally invasive surgery and laparoscopic surgery offers the advantages of maintaining a magnified surgical view and reducing operation time in the deep pelvis; this combination has been used not only for total mesorectal resection, but also for more extended surgeries such as pelvic lymph node dissection or pelvic exenteration. 7,8 Here, we describe our novel technique for transecting the DVC and urethra using a linear stapler inserted through the perineal port of the transperineal endoscopic device in TPE for pelvic malignancies.…”

Combined laparoscopic and transperineal total pelvic exenteration for recurrent rectal cancer—a video vignette

“…Extended rectal surgery beyond total mesorectal excision is technically demanding because of the handling difficulty within the deep pelvis and complex pelvic anatomy, which results in a high morbidity rate. In particular, total pelvic exenteration (TPE) requires highly complex techniques, especially in cases of redo surgery and/or preoperative chemoradiotherapy [1–5].…”