Optimal dissection for transanal total mesorectal excision using modified CO2 insufflation and smoke extraction. (November 2015)

• Record Type: Journal Article
• Authors: Nicholson, G.; Knol, J.; Houben, B.; Cunningham, C.; Ashraf, S.; Hompes, R.
• Is Part Of: Colorectal disease. Volume 17:Number 11(2015)
• Page Start: O265
• Page End: O267
• Publication Date: 2015-11
• Subjects: Colon (Anatomy) -- Diseases -- Periodicals; Rectum -- Diseases -- Periodicals; 616.34
• DOI: 10.1111/codi.13074
• Languages: English
• ISSNs: 1462-8910

Abstract

<abstract abstract-type="main" id="codi13074-abs-0001"> <title>Abstract</title> <sec id="codi13074-sec-0001" sec-type="section"> <title>Aim</title> <p>The new approach of transanal total mesorectal excision is technically challenging and demands a stable field of dissection with optimal view of anatomical landmarks. We aimed to describe and demonstrate a modification of both the insufflation of carbon dioxide and smoke evacuation, in order to optimize dissection.</p> </sec> <sec id="codi13074-sec-0002" sec-type="section"> <title>Method</title> <p>The comparison of standard insufflation to an AirSeal platform demonstrates a clear difference. This is shown in the accompanying video‐recordings.</p> </sec> <sec id="codi13074-sec-0003" sec-type="section"> <title>Results</title> <p>A more stable pneumorectum and better smoke evacuation as well as more convenient and precise dissection were achieved with the AirSeal platform.</p> </sec> <sec id="codi13074-sec-0004" sec-type="section"> <title>Conclusion</title> <p>Using the technique outlined, the operating surgeon is able to perform the surgical dissection in a stable operating environment with increased visibility compared to the standard approach.</p> </sec> </abstract>