%0 Journal Article
%T Ressec£¿£¿o anterior ultrabaixa e interesfinct¨¦rica do reto com anastomose coloanal por videolaparoscopia
%A Ramos
%A Jos¨¦ Reinan
%J Revista do Col¨¦gio Brasileiro de Cirurgi£¿es
%D 2009
%I Col¨¦gio Brasileiro de Cirurgi?es
%R 10.1590/S0100-69912009000500016
%X the author present the laparoscopic coloanal anastomosis and intersphincteric resection technique to treat patients with very low rectal cancer. the operative steps are: 1 - patient positioning; 2 - instruments and equip positioning; 3 - insertion of the ports; 4 - preparation of the operative field; 5 - difining and dividing the inferior mesenteric artery and vein by the medial approach; 6 - mobilization of splenic flexure and sigmoid colon; 7 - rectal mobilization and total mesorectum excision by rullier technique; 8 - rectal division and coloanal anastomosis; 9 - intersphincteric resection and coloanal anastomosis by coloplasty, j pouch or latero-to-end techniques. the technique employed is safe and have presented low rate of complication and no mortality.
%K intersphincteric resection
%K rectal neoplasms
%K laparoscopy
%K coloplasty.
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0100-69912009000500016&lng=en&nrm=iso&tlng=en