<p>The triangulating stapling technique, which was originally used for open colorectal anastomosis procedures, was modified for use during laparoscopic intracorporeal anastomosis procedures. We report an experience of total laparoscopic surgery involving an intracorporeal anastomosis created using this procedure. A 59-year-old female was diagnosed with chronic cholecysto-choledocholithiasis. The associated focal inflammation had subsequently spread to the surrounding tissue, resulting in colonic ileus. She underwent endoscopic choledocholithotomy, followed by laparoscopic cholecystectomy and partial resection of the transverse colon, during which an intracorporeal anastomosis was created using the triangulating stapling technique. The patient’s postoperative course was uneventful. The triangulating stapling technique for creating anastomoses has the following advantages: a physiological end-to-end anastomosis is created, a shorter section of the intestinal tract is required for creating the anastomosis, and less leakage occurs as the resultant anastomosis is high-pressure-resistant. On the basis of these features, we adapted the technique for use as a laparoscopic intracorporeal anastomotic procedure. The triangulating stapling technique could be a useful intracorporeal anastomotic technique for use after colectomy.</p>

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Laparoscopic Intracorporeal End-To-End Colonic Anastomosis Using the Triangulating Stapling Technique: A Case Report

  • Atsushi Okita,
  • Nobuji Yokoyama

摘要

The triangulating stapling technique, which was originally used for open colorectal anastomosis procedures, was modified for use during laparoscopic intracorporeal anastomosis procedures. We report an experience of total laparoscopic surgery involving an intracorporeal anastomosis created using this procedure. A 59-year-old female was diagnosed with chronic cholecysto-choledocholithiasis. The associated focal inflammation had subsequently spread to the surrounding tissue, resulting in colonic ileus. She underwent endoscopic choledocholithotomy, followed by laparoscopic cholecystectomy and partial resection of the transverse colon, during which an intracorporeal anastomosis was created using the triangulating stapling technique. The patient’s postoperative course was uneventful. The triangulating stapling technique for creating anastomoses has the following advantages: a physiological end-to-end anastomosis is created, a shorter section of the intestinal tract is required for creating the anastomosis, and less leakage occurs as the resultant anastomosis is high-pressure-resistant. On the basis of these features, we adapted the technique for use as a laparoscopic intracorporeal anastomotic procedure. The triangulating stapling technique could be a useful intracorporeal anastomotic technique for use after colectomy.