Open AccessTransanal division of the anorectal junction followed by laparoscopic low anterior resection and coloanal pouch anastomosis: A technique facilitated by a balloon port
Author(s) -
Avanish Saklani,
PR Shah,
Nader Naguib,
Nicola Tanner,
Peter Mekhail,
Ashraf Masoud
Publication year - 2011
Publication title -
journal of minimal access surgery
Language(s) - English
Resource type - Journals
eISSN - 0972-9941
pISSN - 1998-3921
DOI - 10.4103/0972-9941.83515
Subject(s) - medicine , surgery , pouch , anastomosis , coloanal anastomosis , fibrous joint , anal canal , balloon , rectum , roux en y anastomosis , resection , port (circuit theory) , colorectal cancer , cancer , gastric bypass , weight loss , electrical engineering , obesity , engineering
We performed a laparoscopic ultra low anterior resection in two patients with low rectal cancers (3 cm from dentate line). A transanal division and continuous suture closure of anorectal junction was performed first followed by laparoscopic low anterior resection. A handsewn anastomosis between colonic pouch/transverse coloplasty and anal canal was facilitated by use of a transanal balloon port.