Totally Laparoscopic Colectomy with Intracorporeal Side-to-End Colorectal Anastomosis and Transrectal Specimen Extraction for Sigmoid and XXXX .

@entity1 @entity834 @entity190 @entity5 @entity282
BACKGROUND: The techniques of intracorporeal anastomosis and specimen extraction after laparoscopic colectomy via a natural orifice have gained interest increasingly. We evaluated the feasibility of our unique techniques for colorectal reconstruction and report immediate postoperative outcomes in @entity1 with @entity5 . METHODS: @entity1 with sigmoid or @entity5 were selected depending on the size of the @entity5 and its distance from the anal verge. Demographic data, operative parameters, and postoperative outcomes were assessed. After complete resection of the @entity5 , all @entity1 underwent an intracorporeal side-to-end colorectal anastomosis following transrectal specimen extraction. RESULTS: Laparoscopic resection with our technique of intracorporeal anastomosis was successful in 32 @entity1 . The average operative time was 192      29  min, and mean @entity190 was 51      18  ml. All @entity1 experienced mild @entity282 , and bowel function returned before postoperative day 3 in most @entity1 . They had an uneventful postoperative course with a median hospital stay of 6  days. Major perioperative complications or @entity834 were not encountered in this study. The mean size of the lesion was 3.3      1.8  cm, and the mean number of harvested nodes was 14      6. During the follow-up period, there were no functional disorders associated with the intracorporeal anastomosis or transrectal specimen extraction. CONCLUSIONS: Intracorporeal side-to-end colorectal anastomosis with transrectal specimen extraction in laparoscopic colorectal surgery is a safe and effective procedure for @entity1 with @entity5 .
