Snake charmer NOTES-proctocolectomy in a male patient

Restricted ability of triangulation, a highly flexible intestine, as well as limited control and overview over the abdominal organs, complicated extensive abdominal interventions in the past. Thus, additional access sites were needed to allow sufficient interoperative control. The newly developed sn...

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Bibliographic Details
Published in:Chirurg 2011-08, Vol.82 (8), p.719
Main Authors: Lamadé, W, Schymik, K, Rieber, F, Friedrich, C, Etzrodt, J, Ulmer, C, Thon, K P
Format: Article
Language:ger
Subjects:
Abdomen, Acute - diagnosis
Abdomen, Acute - surgery
Adult
Colitis, Ulcerative - diagnosis
Colitis, Ulcerative - pathology
Colitis, Ulcerative - surgery
Colonoscopes
Humans
Intestinal Mucosa - pathology
Intussusception - diagnosis
Intussusception - surgery
Male
Natural Orifice Endoscopic Surgery - instrumentation
Natural Orifice Endoscopic Surgery - methods
Postoperative Complications - diagnosis
Postoperative Complications - surgery
Proctocolectomy, Restorative - instrumentation
Proctocolectomy, Restorative - methods
Reoperation
Surgical Instruments
Surgical Stapling - methods
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Summary:Restricted ability of triangulation, a highly flexible intestine, as well as limited control and overview over the abdominal organs, complicated extensive abdominal interventions in the past. Thus, additional access sites were needed to allow sufficient interoperative control. The newly developed snake charmer NOTES-technique enables the reduction of accesses to the umbilicus and rectum. We report the first case of total proctocolectomy with ileoanal pouch formation in hybrid NOTES technique in a male patient.
ISSN:1433-0385
DOI:10.1007/s00104-011-2094-8