Laparoscopic-assisted left colon resection entails reestablishing pneumoperitoneum and laparoscopic colorectal anastomosing, if performed through a left lower-quadrant incision. A horizontal suprapubic incision allows direct view of the colorectal anastomosis obviating the need for reestablishing pneumoperitoneum. Performing colorectal anastomoses in an open fashion via a suprapubic incision and with nonrestoration of pneumoperitoneum will contain operating time in laparoscopic-assisted left colectomy.
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| http://dx.doi.org/10.1016/s0002-9610(00)00452-9 | DOI Listing |
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