Original Technique to Close the Transrectal Viscerotomy Access in a NOTES Transrectal and Transgastric Segmental Colectomy

Leroy, Joël; Diana, Michele; Perretta, Silvana; Wall, James; De Ruijter, Vivian; Marescaux, Jacques
September 2011
Surgical Innovation;Sep2011, Vol. 18 Issue 3, p193
Academic Journal
Segmental colectomy is an ideal procedure for natural orifice transluminal endoscopic surgery (NOTES). Transanal endoscopic approaches have enabled rectosigmoid colectomy through a viscerotomy that is resected with the specimen. To extend NOTES segmental colectomy to the entire colon and beyond, a rectal viscerotomy will have to be safely and effectively closed at the end of the procedure. A new technique for rectal viscerotomy closure using a circular EEA Hemorrhoid and Prolapse Stapler with DST Series Technology (Covidien) is described.


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