title: Colorectal anastomosis after laparoscopic low anterior resection with total mesorectal excision: a difficult problem made simple.
abstract: Laparoscopic anterior resection with total mesorectal excision for middle and lower third rectal cancer remains a difficult operation, in particular, in male patients with a narrow pelvis and bulky mesentery. In this type of patient, the available staplers do not allow an easy transection of the rectum close to the pelvic floor. A new approach that uses instruments (dilator, obturator, and pursestring anoscope) specifically designed for the technique of stapled hemorrhoidopexy and a common circular stapler can overcome all these issues.
authors.affiliation: Division of Colorectal Surgery, Surgical Oncology Department, Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal. manuellimbert@netcabo.pt
authors.forename: M
authors.initials: M
authors.lastname: Limbert
authors.forename: J Mendes
authors.initials: JM
authors.lastname: de Almeida
mesh_terms: D000714:Anastomosis, Surgical; D003106:Colon / Q000601:surgery*; D016099:Endoscopy, Gastrointestinal / Q000379:methods; D006801:Humans; D010535:Laparoscopy; D008297:Male; D012004:Rectal Neoplasms / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D017792:Surgical Stapling; D013536:Suture Techniques