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World J Surg Proced. Nov 28, 2013; 3(3): 25-28
Published online Nov 28, 2013. doi: 10.5412/wjsp.v3.i3.25
Retroileal trans-mesenteric colorectal anastomosis
Pierpaolo Sileri, Ilaria Capuano, Carolina Ilaria Ciangola, Luana Franceschilli, Federica Giorgi, Achille Lucio Gaspari
Pierpaolo Sileri, Ilaria Capuano, Carolina Ilaria Ciangola, Luana Franceschilli, Federica Giorgi, Achille Lucio Gaspari, Department of Surgical Sciences, University of Rome Tor Vergata, 00133 Rome, Italy
Author contributions: All authors contributed to substantial contributions to conception and design, acquisition of data; Sileri P, Capuano I and Franceschilli L contributed to drafting the article or revising it critically for important intellectual content; Sileri P, Capuano I and Gaspari AL gave final approval of the version to be published.
Correspondence to: Pierpaolo Sileri, MD, MS, PhD, Department of Surgical Sciences, University of Rome Tor Vergata, Cattedra Chirurgia Generale, Policlinico Tor Vergata, 7A, Viale Oxford 81, 00133 Rome, Italy. piersileri@yahoo.com
Telephone: +39-33-39137249 Fax: +39-6-20902927
Received: August 17, 2013
Revised: October 22, 2013
Accepted: November 7, 2013
Published online: November 28, 2013
Processing time: 116 Days and 16.2 Hours
Core Tip

Core tip: Several approaches have been proposed as salvage techniques to avoid total colectomy with ileo-rectal or ileo-anal anastomosis after an extensive mobilization and left colon resection. However, as these techniques, which we are going to discuss hereafter, involve various technical difficulties, we present a valid alternative to ileo-rectal or ileo-anal anastomosis: a retro-ileal, trans-mesenteric colorectal anastomosis, first described by R. Turnbull in 1972, which allows a safe and tension free anastomosis after both open and laparoscopic extended left colon resections with inadequate residual length for standard colo-rectal anastomosis.