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Completely staple-free hand-sewn laparoscopic anastomosis in colorectal surgery



Completely staple-free hand-sewn laparoscopic anastomosis in colorectal surgery



Journal of Laparoendoscopic and Advanced Surgical Techniques. Part a 18(2): 282-285



Colonic continuity following a laparoscopic left hemicolectomy is usually performed by using a circular stapler to achieve end-to-end colorectal anastomosis. However, not much consideration is given to the costs of this technique and the long-term risk of stenosis. In this paper, we report the first case of a completely staple-free hand-sewn laparoscopic colonic anastomosis (CSHLCA) following a laparoscopic left hemicolectomy for cancer. Total operative time was 170 minutes, and the time to perform the anastomosis was 38 minutes. The postoperative stay was uneventful, with a total hospital stay of 6 days. CSHLCA is feasible and can lower the cost of the laparoscopic procedure. It may be considered in countries with limited access to mechanical staplers.

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Accession: 052260896

Download citation: RISBibTeXText

PMID: 18373458

DOI: 10.1089/lap.2007.0065


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