title: Left colectomy with intracorporeal anastomosis: technical aspects.
abstract: Oncologic laparoscopic colectomy represents a fully validated surgical approach to the management of colorectal cancer. However, laparoscopic surgery for distal transverse and descending colon lesions remains a challenging procedure. A total laparoscopic approach to the left colectomy is an interesting option for critically ill patients although reports in the literature on this subject are scarce and its approach still not standardized because of its selective nature for indication. There are several advantages associated with conduction of totally laparoscopic approach to the left colon. Intracorporeal vessel sealing ensures an adequate lymph node dissection. Moreover, it enables the construction of a well-vascularized anastomosis. Ultimately, the occurrence of late wound complications are possibly reduced for the placement of a low abdominal incision exclusively used for specimen extraction. This paper aimed at describing our technique for a totally laparoscopic left colectomy for distal transverse and descending colon lesions.
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
authors.forename: Sérgio Eduardo Alonso
authors.initials: SE
authors.lastname: Araujo
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
authors.forename: Victor Edmond
authors.initials: VE
authors.lastname: Seid
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
authors.forename: Sidney
authors.initials: S
authors.lastname: Klajner
authors.affiliation: Instituto do Câncer do Estado de São Paulo, São Paulo, SP, Brazil.
authors.forename: Alexandre Bruno
authors.initials: AB
authors.lastname: Bertoncini
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D003082:Colectomy / Q000379:methods*; D044684:Colon, Transverse / Q000601:surgery*; D015179:Colorectal Neoplasms / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008488:Medical Illustration; D015203:Reproducibility of Results