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Laparoscopic Left and Sigmoid Colectomy: Options for Colonic and Colorectal Reconstruction

  • Matthew G. MutchEmail author
Chapter

Abstract

Construction of a safe and healthy anastomosis following a colon or rectal resection is one of the critical steps of the entire operation. There are many options for the type of reconstruction to be performed. All options must include all of the following features: adequate blood supply to the bowel, utilization of healthy bowel, adequate mobilization to avoid tension on the anastomosis, and some form of anastomotic assessment. It is also critical for the surgeon to understand the patient, disease, and surgeon-related factors that impact the creation of a successful anastomosis. Unfortunately, not every anastomosis is straightforward, so surgeons must also be facile with techniques and maneuvers to overcome intraoperative challenges associated with restoring intestinal continuity. This chapter will address many of the technical aspects of the various types of bowel reconstruction, management of intraoperative issues, and will discuss the outcomes of left-sided colon reconstructions.

Keywords

Anastomosis Anastomotic testing Colonic J pouch Coloplasty Baker’s anastomosis 

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Copyright information

© Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) 2020

Authors and Affiliations

  1. 1.Washington University School of Medicine, Department of Surgery, Section of Colon and Rectal SurgerySt. LouisUSA

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