[Synergistic effects of intracavitary and endoluminal endoscopic surgery]

Abstract

The extended application of laparoscopic techniques led to complications related to the procedure (resection of wrong segments, non-curative resections, perforation, anastomotic stenosis/leakage). Main aetiology is the missing tactile sense. The combined action of laparoscopy and intraoperative endoluminal endoscopy is here an alternative. Intraoperative endoscopy is useful at the upper GI tract during total vagotomy, SPV, Taylor procedure, myotomy, fundoplication, perforated ulcer and BI/BII resections. During colorectal procedures, intraoperative endoscopy provides localisation of the tumor, determination of margins for resection, identification of anatomy (i.e. Hartmann stump) as well as inspection of the anastomoses. A consequent combination of intraabdominal and endoluminal endoscopy is helpful in prevention of the observed complications due to laparoscopic surgery.