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