Benign GI diease,Surgical technique
- Double-layered hand-sewn anastomosis: a valuable resource for the colorectal surgeon
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Cristopher Varela, Manar Nassr, Azharuddin Razak, Nam Kyu Kim
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Ann Coloproctol. 2022;38(3):271-275. Published online March 17, 2022
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DOI: https://doi.org/10.3393/ac.2021.00990.0141
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Supplementary Material
- Hand-sewn anastomosis is an essential and fundamental skill for surgeons dealing with any gastrointestinal anastomosis. Despite the advances in minimally invasive surgery and stapling devices, there are still complex surgical circumstances when the surgeon’s surgical know-how are necessary. Therefore, a safe hand-sewn technique for bowel anastomosis is required to establish a tension-free, well-perfused, and sealed anastomosis that allows gastrointestinal continuity with no unexpected complications. We describe a step-by-step procedure for hand-sewn double-layered anastomosis that reflects these principles and is practical for small and large bowel anastomosis.
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- How to Do a Continuous Inverting Bowel Anastomosis Employing Counter‐Traction
Sunil Siri Pathamanathan, Warunika Jayasena, Steven Due, Harjit Singh
ANZ Journal of Surgery.2026;[Epub] CrossRef - A Prospective Comparative Study Between Stapler and Handsewn Gastrointestinal Anastomosis
Gollapudi Sai Viswanth, Dayanand Biradar, Mallikarjun B Patil, Vikram Sindagikar, Anand Suntan, Veena Korishetty
Cureus.2026;[Epub] CrossRef - Grampeadores mecânicos versus sutura manual em Anastomoses intestinais: uma revisão sistemática
Letícia Meneses Teixeira, Yuri Fleury de Melo Prudente Guimarães, Leonardo de Oliveira Leite Coelho, Leo Ferreira Mattos De Miranda
RCMOS - Revista Científica Multidisciplinar O Saber.2025;[Epub] CrossRef - Fluorescence-guided colorectal surgery: applications, clinical results, and protocols
Jin-Min Jung, In Ja Park, Eun Jung Park, Gyung Mo Son
Annals of Surgical Treatment and Research.2023; 105(5): 252. CrossRef - Preventing Anastomotic Leakage, a Devastating Complication of Colorectal Surgery
Hyun Gu Lee
The Ewha Medical Journal.2023;[Epub] CrossRef
Malignant disease, Rectal cancer,Prognosis and adjuvant therapy,Colorectal cancer
- Surgical Treatment of Low-Lying Rectal Cancer: Updates
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Cristopher Varela, Nam Kyu Kim
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Ann Coloproctol. 2021;37(6):395-424. Published online December 22, 2021
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DOI: https://doi.org/10.3393/ac.2021.00927.0132
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16,009
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434
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54
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- Despite innovative advancements, distally located rectal cancer remains a critical disease of challenging management. The crucial location of the tumor predisposes it to a circumferential resection margin (CRM) that tends to involve the anal sphincter complex and surrounding organs, with a high incidence of delayed anastomotic complications and the risk of the pelvic sidewall or rarely inguinal lymph node metastases. In this regard, colorectal surgeons should be aware of other issues beyond total mesorectal excision (TME) performance. For decades, the concept of extralevator abdominoperineal resection to avoid compromised CRM has been introduced. However, the complexity of deep pelvic dissection with poor visualization in low-lying rectal cancer has led to transanal TME. In contrast, neoadjuvant chemoradiotherapy (NCRT) has allowed for the execution of more sphincter-saving procedures without oncologic compromise. Significant tumor regression after NCRT and complete pathologic response also permit applying the watch-and-wait protocol in some cases, now with more solid evidence. This review article will introduce the current surgical treatment options, their indication and technical details, and recent oncologic and functional outcomes. Lastly, the novel characteristics of distal rectal cancer, such as pelvic sidewall and inguinal lymph node metastases, will be discussed along with its tailored and individualized treatment approach.
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Citations
Citations to this article as recorded by

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