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Author To, Kazuo ♦ Takeshita, Hiroaki ♦ Tominaga, Tetsuro ♦ Arai, Junichi ♦ Nonaka, Takashi ♦ Kunizaki, Masaki ♦ Hidaka, Shigekazu ♦ Sawai, Terumitsu ♦ Nagayasu, Takeshi ♦ Ishikawa, Hiroshi
Source J-STAGE
Content type Text
Publisher Nagasaki University School of Medicine
Language English
Subject Keyword extraperitoneal route ♦ laparoscopic stoma construction ♦ Nelaton’s catheter
Abstract Introduction: Abdominoperineal resection is performed using laparoscopic techniques at many institutions. Few institutions construct the terminal stoma using the extraperitoneal route, mainly because of the difficulty of this approach. However, the extraperitoneal route for terminal stoma might be associated with a lower rate of complications when compared with the transperitoneal route. We construct the terminal stoma via the extraperitoneal route using Nelaton’s catheter. Materials and Surgical Technique: We call this technique the “Nelaton’s Catheter Hauling Technique”, which involves: 1) dissection of the extraperitoneal space using a intestinal spatula, 2) insertion of Nelaton’s catheter into the abdominal space via the extraperitoneal route, 3) capture of the tip of Nelaton’s catheter and pull it to the outside, 4) tying of the threads of the stump of the colon and the tip of Nelaton’s catheter, and 5) pulling up on Nelaton’s catheter to move the stump of the colon outside via the extraperitoneal route. Discussion: We believe that the use of this technique will contribute to the reduction of stoma-related complications.
ISSN 00016055
Learning Resource Type Article
Publisher Date 2017-01-01
Journal Acta Medica Nagasakiensia(amn)
Volume Number 61
Issue Number 1
Page Count 4
Starting Page 1
Ending Page 4


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