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Nuno MARCOS

University of Minho
Braga, Portugal
MD
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Pure NOTES total transanal caudal-to-cranial low rectal resection
A 37-year-old female patient underwent a pure NOTES transanal rectal resection without transabdominal laparoscopic assistance for a rectal lesion located 5cm away from the anal verge (cT2N0M0 adenocarcinoma). All oncologic principles were fulfilled.
A GelPOINT Path Transanal® access platform was used. The procedure was achieved with no-flexible cameras and straight laparoscopic instruments. An Ultracision® device was used for dissection. A circular stapler with a long anvil was selected because it helped to achieve the anastomosis.
No complications were observed and the patient was discharged home on the third postoperative day.
P Leão, A Goulart, N Marcos, C Veiga, H Cristino
Surgical intervention
3 years ago
1330 views
29 likes
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15:43
Pure NOTES total transanal caudal-to-cranial low rectal resection
A 37-year-old female patient underwent a pure NOTES transanal rectal resection without transabdominal laparoscopic assistance for a rectal lesion located 5cm away from the anal verge (cT2N0M0 adenocarcinoma). All oncologic principles were fulfilled.
A GelPOINT Path Transanal® access platform was used. The procedure was achieved with no-flexible cameras and straight laparoscopic instruments. An Ultracision® device was used for dissection. A circular stapler with a long anvil was selected because it helped to achieve the anastomosis.
No complications were observed and the patient was discharged home on the third postoperative day.