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Totally Laparoscopic Left Colonic Resection With Intracorporeal Anastomosis
Laura Doyon*, Celia M. Divino, Scott Q. Nguyen, Edward Chin
Surgery, The Mount Sinai School of Medicine, New York, NY

This video demonstrates two complementary laparoscopic cases, each focusing on techniques for intracorporeal anastomosis. The first is an elective sigmoid resection for history of uncomplicated diverticulitis. It uses an end-to-side intracorporeal anastomosis performed with a circular stapler. The second is a left hemicolectomy, performed for descending colon cancer. It employs a side-to-side intracorporeal anastomosis performed with a linear stapler and sewn common enterotomy. Totally laparoscopic colonic resection with intracorporeal anastomosis can facilitate resection in obese patients, as well as improve cosmesis and wound complications by reducing incision length for extraction.


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