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Laparoscopic left colectomy with transmesenteric colorectal anastomosis on the mid-transverse colon

J Leroy, MD, FRCS J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Oct 2010;10(10). URL: http://websurg.com/doi/vd01en3029

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  • 2010-10-15
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The objective of this film is to show the totalization of a left partial colectomy performed one year ago and the possibility of doing a transmesenteric laparoscopic colorectal anastomosis. This patient had undergone a sigmoidectomy for sigmoid diverticulitis with a colorectal anastomosis one year ago. During the postoperative period, the patient had several subocclusive episodes and suffered from pain related to an ischemic stenosis of the lowered colon with no necrosis. The stenosis has become increasingly incapacitating, not only at the level of the anastomosis but especially at the level of the left colon, which has been getting narrower.