We use cookies to offer you an optimal experience on our website. By browsing our website, you accept the use of cookies.

You must be logged in to watch this video. Click here to access your account, or here to register for free!

Manual colorectal anastomosis during suprapubic single incision laparoscopic left hemicolectomy

G Dapri, MD, PhD, FACS, FASMBS, Hon FPALES, Hon SPCMIN, Hon BSS, Hon CBCD, Hon CBC
Epublication WebSurg.com, May 2015;15(05). URL: http://websurg.com/doi/vd01en4484

Ask a question to the author

You must be logged in to ask a question to authors. Click here to access your account, or here to register for free!
  • 3819
  • 85
  • 2015-05-07
Share it
Background: Single incision laparoscopic left hemicolectomy is a feasible procedure. A suprapubic access allows to offer satisfactory cosmetic results in case of an extended scar due to a large tumor. An intracorporeal circular mechanical anastomosis is the most common type. A manual anastomosis is feasible and allows to control lumen opening, potential bleeding, and overall to overcome the difficulty of transanal stapler insertion in case of high rectal transection. Video: This video shows two different types of manual colorectal anastomosis, through a right suprapubic access. 1) Double-layer end-to-end 2) Monolayer end-to-end Results: After an appropriate learning curve, time to perform the manual anastomosis is 40 minutes. Conclusions: Different colorectal anastomoses can be performed and the surgeon has to choose the appropriate one, case by case. To watch the video demonstrating the entire left hemicolectomy, please click here.