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Einstein (São Paulo)

Print version ISSN 1679-4508On-line version ISSN 2317-6385


ARAUJO, Sérgio Eduardo Alonso; SEID, Victor Edmond; KLAJNER, Sidney  and  BERTONCINI, Alexandre Bruno. Left colectomy with intracoporeal anastomosis: technical aspects. Einstein (São Paulo) [online]. 2014, vol.12, n.3, pp.386-388. ISSN 1679-4508.

Oncologic laparoscopic colectomy represents a fully validated surgical approach to the management of colorectal cancer. However, laparoscopic surgery for distal transverse and descending colon lesions remains a challenging procedure. A total laparoscopic approach to the left colectomy is an interesting option for critically ill patients although reports in the literature on this subject are scarce and its approach still not standardized because of its selective nature for indication. There are several advantages associated with conduction of totally laparoscopic approach to the left colon. Intracorporeal vessel sealing ensures an adequate lymph node dissection. Moreover, it enables the construction of a well-vascularized anastomosis. Ultimately, the occurrence of late wound complications are possibly reduced for the placement of a low abdominal incision exclusively used for specimen extraction. This paper aimed at describing our technique for a totally laparoscopic left colectomy for distal transverse and descending colon lesions.

Keywords : Laparoscopy; Surgical procedures, operative; Colorectal surgery; Colorectal neoplasms; Intestinal polyps.

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