Laparoscopic colorectal anastomosis technique without ‘‘dog ear’’ formation using LigaSure for bowel transection

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  1. 1.

    Park JS, Choi GS, Kim SH, Kim HR, Kim NK, Lee KY, Kang SB, Kim JY, Lee KY, Kim BC, Bae BN, Son GM, Lee SI, Kang H (2013) Multicenter analysis of risk factors for anastomotic leakage after laparoscopic rectal cancer excision: the Korean laparoscopic colorectal surgery study group. Ann Surg 257:665–671

    Article  Google Scholar 

  2. 2.

    Knight CD, Griffen FD (1980) An improved technique for low anterior resection of the rectum using the EEA stapler. Surgery 88:710–714

    CAS  PubMed  Google Scholar 

  3. 3.

    Chen ZF, Liu X, Jiang WZ, Guan GX (2016) Laparoscopic double-stapled colorectal anastomosis without “dog-ears”. Tech Coloproctol 20:243–247

    Article  Google Scholar 

  4. 4.

    Kang J, Lee HB, Cha JH, Hur H, Min BS, Baik SH, Kim NK, Sohn SK, Lee KY (2013) Feasibility and impact on surgical outcomes of modified double-stapling technique for patients undergoing laparoscopic anterior resection. J Gastrointest Surg 17:771–775

    Article  Google Scholar 

  5. 5.

    Manson RJ, Pryor AD (2008) Bipolar sealing increases mesenteric reach during bowel transection compared with stapled division: clinical evidence and laboratory support in a porcine model. Surg Endosc 22:1894–1898

    Article  Google Scholar 

  6. 6.

    Landman J, Kerbl K, Rehman J, Andreoni C, Humphrey PA, Collyer W, Olweny E, Sundaram C, Clayman RV (2003) Evaluation of a vessel sealing system, bipolar electrosurgery, harmonic scalpel, titanium clips, endoscopic gastrointestinal anastomosis vascular staples and sutures for arterial and venous ligation in a porcine model. J Urol 169:697–700

    Article  Google Scholar 

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This work was supported by the Science and Technology Support Program of the Science and Technology Department of Sichuan Province (Grant number: 2016SZ0043). We acknowledge Yan Yan (School of Life Sciences, Chinese University of Hong Kong), who helped prepare the video.

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Correspondence to W.-J. Meng or Z.-Q. Wang.

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Wei, M., Yang, T., Deng, X. et al. Laparoscopic colorectal anastomosis technique without ‘‘dog ear’’ formation using LigaSure for bowel transection. Tech Coloproctol 24, 207–210 (2020).

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