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The SAGES Manual of Colorectal Surgery pp 271–290Cite as

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

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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.

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Authors and Affiliations

  1. Washington University School of Medicine, Department of Surgery, Section of Colon and Rectal Surgery, St. Louis, MO, USA

    Matthew G. Mutch

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  1. Matthew G. Mutch
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Correspondence to Matthew G. Mutch .

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Editors and Affiliations

  1. Icahn School of Medicine at Mount Sinai Hospital, New York, NY, USA

    Patricia Sylla

  2. Keck School of Medicine of USC, Los Angeles, CA, USA

    Andreas M. Kaiser

  3. Icahn School of Medicine at Mount Sinai Hospital, New York, NY, USA

    Daniel Popowich

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

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Mutch, M.G. (2020). Laparoscopic Left and Sigmoid Colectomy: Options for Colonic and Colorectal Reconstruction. In: Sylla, P., Kaiser, A., Popowich, D. (eds) The SAGES Manual of Colorectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-24812-3_18

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  • DOI: https://doi.org/10.1007/978-3-030-24812-3_18

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-24811-6

  • Online ISBN: 978-3-030-24812-3

  • eBook Packages: MedicineMedicine (R0)

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