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Clin Colon Rectal Surg 2023; 36(01): 074-082
DOI: 10.1055/s-0042-1758560
Review Article

Laparoscopic Intracorporeal Anastomosis

Robert N. Goldstone
1   Division of Gastrointestinal and Oncologic Surgery, Section of Colon and Rectal Surgery, Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts
,
Daniel A. Popowich
2   Division of Colon and Rectal Surgery, St Francis Hospital, Roslyn, New York
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Abstract

Given the progression of laparoscopic surgery, questions continue to arise as to the ideal technique for a laparoscopic colectomy. The most debated of these questions is whether it is best to complete an intracorporeal (ICA) or extracorporeal (ECA) intestinal anastomosis. Here, we review the literature to date and report the equivalent safety and efficacy of ICA and ECA for laparoscopic right colectomy. However, these studies also indicate that when completed, ICA may prove beneficial with respect to earlier return of bowel function, less postoperative pain, shorter incision length, and reduced risk of wound infections. For this, we present the tips and tricks for completing all forms of laparoscopic ICAs during laparoscopic colectomy.

Keywords

laparoscopic colectomy - intracorporeal anastomosis - right colectomy - low anterior resection - ileocolic resection - optimal technique


Publication History

Article published online:
09 December 2022

© 2022. Thieme. All rights reserved.

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