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Scientific Articles

Double single-port pan-proctocolectomy with transanal total mesorectal excision [TaTME] and ileal pouch-anal anastomosis [IPAA]: improvisation under limited resources

Authors:

Pramodh Chandrasinghe ,

University of Kelaniya, LK
About Pramodh
Department of Surgery, The Faculty of Medicine
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Sumudu Kumarage

The Faculty of Medicine, LK
About Sumudu
University of Kelaniya
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Abstract

Novel surgical techniques fail to reach all parts of the world equally due to financial constraints. Non-availability of high-cost equipment in the developing world hinders progress. Transanal total mesorectal incision [TaTME] is a novel technique becoming popular world over due to many perceived benefits. Some of the equipment requirements prevent surgeons in resource-limited environments from taking up this technique. We describe the performance of a double single port panproctocolectomy with TaTME and ileal pouch-anal anastomosis for a patient with colitis-associated rectal cancer under improvised conditions at a tertiary care centre in Sri Lanka. Standard practice requires two laparoscopic stacks and an integrated air insufflator both of which are not available in the local setting. A flexible endoscope was used to replace the need for a second laparoscopic stack and a simple drainage bag connection to the standard insufflator to provide a stable pneumo-peritoneum. The patient had a rapid uneventful recovery.
How to Cite: Chandrasinghe P, Kumarage S. Double single-port pan-proctocolectomy with transanal total mesorectal excision [TaTME] and ileal pouch-anal anastomosis [IPAA]: improvisation under limited resources. Sri Lanka Journal of Surgery. 2020;38(3):25–8. DOI: http://doi.org/10.4038/sljs.v38i3.8761
Published on 31 Dec 2020.
Peer Reviewed

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