Pure NOTES total transanal caudal-to-cranial low rectal resection
Epublication WebSurg.com, May 2015;15(05). URL: http://websurg.com/doi/vd01en4506
A 37-year-old female patient underwent a pure NOTES transanal rectal resection without transabdominal laparoscopic assistance for a rectal lesion located 5cm away from the anal verge (cT2N0M0 adenocarcinoma). All oncologic principles were fulﬁlled. A GelPOINT Path Transanal® access platform was used. The procedure was achieved with no-flexible cameras and straight laparoscopic instruments. An Ultracision® device was used for dissection. A circular stapler with a long anvil was selected because it helped to achieve the anastomosis. No complications were observed and the patient was discharged home on the third postoperative day.