title: Laparoscopic subtotal colectomy with transrectal extraction of the colon and ileorectal anastomosis.
abstract: BACKGROUND
  Despite the growing acceptance of laparoscopic colon surgery, an abdominal incision is needed to remove the specimen and perform an anastomosis.
  
  
  METHODS
  Five trocars (one 12 mm and four 5 mm) were used. The video describes the technique of performing laparoscopic subtotal colectomy, laparoscopic cholecystectomy, transrectal removal of the gallbladder and the entire colon, and intracorporeal stapled ileorectal anastomosis in a 27-year-old female with colonic inertia and biliary dyskinesia.
  
  
  RESULTS
  There were no intraoperative complications. The operating time was 180 min. Blood loss was 10 cc. The patient was discharged home on postoperative day 4.
  
  
  CONCLUSIONS
  Laparoscopic subtotal colectomy with transrectal removal of the colon is a safe and effective procedure that can be added to the armamentarium of surgeons performing laparoscopic colon surgery. This technique may provide both an attractive way to reduce abdominal wall morbidity and a bridge to NOTES colon surgery.
authors.affiliation: Division of Minimally Invasive Surgery, Department of Surgery, University of Florida College of Medicine Jacksonville, 633 West 8th Street, Jacksonville, FL 32209, USA. ziad.awad@jax.ufl.edu
authors.forename: Ziad T
authors.initials: ZT
authors.lastname: Awad
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D017081:Cholecystectomy, Laparoscopic / Q000379:methods; D002908:Chronic Disease; D003082:Colectomy / Q000379:methods*; D003109:Colonic Diseases, Functional / Q000601:surgery*; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D057605:Natural Orifice Endoscopic Surgery / Q000379:methods*; D012007:Rectum / Q000601:surgery*