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Pure NOTES total transanal caudal-to-cranial low rectal resection

Epublication WebSurg.com, May 2015;15(05). URL: http://websurg.com/doi/vd01en4506

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  • 2015-05-07
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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.