Manual colorectal anastomosis during suprapubic single incision laparoscopic left hemicolectomy
Epublication WebSurg.com, May 2015;15(05). URL: http://websurg.com/doi/vd01en4484
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.