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Low anterior resection is routinely used in the management of diseases of the colon and rectum. Its main advantage is the preservation of sphincteric function without compromise of therapeutic objectives and prospective cure.
Long-handled straight scalpel (left), angled scalpel (center), and low anterior resection angled scissors (right).
Unfavorable anatomy, cumbersome right-angled intestinal clamps, and transection of the distal bowel can make this procedure difficult and challenging. The Sweet esophageal scissors and the straight and angled scalpels have drawbacks: they do not provide clean, smooth edges for anastomosis, are difficult to position, and deny the surgeon full control over the cutting surface.
The Surgical Developmental Oncology Service at Roswell Park Memorial Institute, Buffalo, NY, in conjunction with Narco-Pilling, developed a low anterior resection scissors, 28.5 cm long, with a 60° included angle (the most acute that is compatible with adequate shearing) and a 5.5-cm cutting surface. This instrument has been used
LEDESMA EJ, TSENG M, MITTELMAN A. Angled Low Anterior Resection Scissors. Arch Surg. 1981;116(5):729. doi:10.1001/archsurg.1981.01380170199037