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Updated: Jun 18, 2026
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Colorectal anastomosis after laparoscopic low anterior resection with total mesorectal excision: a difficult problem
M Limbert1, J Mendes de Almeida
1Division of Colorectal Surgery, Surgical Oncology Department, Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal. manuellimbert@netcabo.pt
Abstract:
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.
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