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Case Reports
. 2018 Jan-Mar;14(1):71-73.
doi: 10.4103/jmas.JMAS_110_17.

A case of total laparoscopic sigmoidectomy involving the use of needle forceps and transanal specimen extraction for sigmoid colon cancer

Rina Takahashi  1 , Kazuhiro Sakamoto  1 , Hisashi Ro  1 , Kazumasa Kure  1 , Masaya Kawai  1 , Shun Ishiyama  1 , Kiichi Sugimoto  1 , Yutaka Kojima  1 , Atsushi Okuzawa  1 , Yuichi Tomiki  1
Affiliations
Case Reports

A case of total laparoscopic sigmoidectomy involving the use of needle forceps and transanal specimen extraction for sigmoid colon cancer

Rina Takahashi et al. J Minim Access Surg. 2018 Jan-Mar.

Abstract

A 76-year-old male underwent endoscopic mucosal resection for a stage T1 tumour of the sigmoid colon. We performed laparoscopic sigmoidectomy through 5 ports using needlescopic instruments. The resected specimen was extracted from the abdominal cavity transanally. After attaching an anvil to the sigmoidal stump, the rectal stump was reclosed using an endoscopic linear stapler, and then, colorectal anastomosis was conducted using the double stapling technique. Performing transanal specimen extraction using needlescopic forceps improves aesthetic outcomes and reduces post-operative pain and the risk of abdominal incisional hernias. This method is an easy to introduce a form of reduced-port surgery because of its feasibility and conventional port arrangement. Hence, we consider that it is an option for minimally invasive surgery.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
The port locations. Two sets of needlescopic forceps were inserted into the left upper and lower quadrants
Figure 2
Figure 2
(a) The resected specimen was transanally extracted from the abdominal cavity. (b) The anvil was attached the stump of the proximal sigmoid colon intracorporealy
See this image and copyright information in PMC

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