Copyright
©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Mar 21, 2018; 24(11): 1278-1284
Published online Mar 21, 2018. doi: 10.3748/wjg.v24.i11.1278
Published online Mar 21, 2018. doi: 10.3748/wjg.v24.i11.1278
Low-pressure pneumoperitoneum with abdominal wall lift in laparoscopic total mesorectal excision for rectal cancer: Initial experience
Ping-Tian Xia, Maimaiti Yusofu, Hai-Feng Han, Chun-Xiao Hu, San-Yuan Hu, Wen-Bin Yu, Shao-Zhuang Liu, Department of General Surgery, Qilu Hospital of Shandong University, Jinan 250012, Shandong Province, China
Author contributions: Xia PT, Hu SY, Yu WB and Liu SZ designed the study, analyzed the data and wrote the paper; Yusofu M, Yu WB and Liu SZ performed the surgery and treated the patients; Han HF and Hu CX collected and analyzed the patient data; Hu SY and Liu SZ approved the final manuscript.
Supported by the Special Found for Taishan Scholar Project of Shandong Province, China.
Institutional review board statement: The study was reviewed and approved by the Ethics Committee of Scientific Research of Shandong University Qilu Hospital.
Informed consent statement: In this study, all involved participants or their legal guardian provided informed written consent before surgery.
Conflict-of-interest statement: No authors of this paper have conflicting interests.
Data sharing statement: No additional data are available.
CONSORT 2010 statement: The guidelines of the CONSORT 2010 Statement have been adopted.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Shao-Zhuang Liu, MD, PhD, Attending Doctor, Postdoc, Department of General Surgery, Qilu Hospital of Shandong University, 107#, Wenhua Xi Road, Jinan 250012, Shandong Province, China. liushaozhuang@sdu.edu.cn
Telephone: +86-531-86920598 Fax: +86-531-86920598
Received: January 11, 2018
Peer-review started: January 11, 2018
First decision: January 25, 2018
Revised: January 30, 2018
Accepted: February 9, 2018
Article in press: February 9, 2018
Published online: March 21, 2018
Peer-review started: January 11, 2018
First decision: January 25, 2018
Revised: January 30, 2018
Accepted: February 9, 2018
Article in press: February 9, 2018
Published online: March 21, 2018
Core Tip
Core tip: Low-pressure pneumoperitoneum (LPP) and abdominal wall lift (AWL) have been proposed as alternative approaches to standard-pressure pneumoperitoneum to avoid adverse cardiorespiratory effects. However, the operative field under these approaches is less optimal and accompanied by increased technical difficulties. We developed a new technique combining LPP and AWL, which improved exposure of the operative field that was compromised with LPP or AWL alone. We evaluated the safety and feasibility of this new technique in 26 cases of laparoscopic total mesorectal excision for rectal cancer. This technique can provide satisfactory exposure of the operative field and stable operative monitoring indices.