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Dis Colon Rectum. 2009 Dec;52(12):2048-50. doi: 10.1007/DCR.0b013e3181b52fb7.

Colorectal anastomosis after laparoscopic low anterior resection with total mesorectal excision: a difficult problem made simple.

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Division of Colorectal Surgery, Surgical Oncology Department, Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal.


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.

[Indexed for MEDLINE]

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