Making intracorporeal anastomosis easier: a practical and reproducible technique for common enterotomy closure in laparoscopic right colectomy.

Abstract

Background: In laparoscopic right-sided colonic resection, intracorporeal anastomosis offers several short-term advantages over the most commonly employed extracorporeal approach. Despite this, technical difficulties of execution still limit its widespread adoption. This report presents a novel technique for common enterotomy closure in pure laparoscopic surgery, which may support a more structured, consistent, and reproducible approach to anastomosis creation.

Methods: The technique entails a preliminary suture stabilization of the posterior aspect of the anastomosis prior to enterotomies creation and stapler firing. This maintains the resulting common enterotomy superficial and less prone to undue traction, thereby enhancing visibility and facilitating its manual closure.

Results: From August 2021 to February 2025, 39 patients underwent laparoscopic right-sided colectomy with this technique of reconstruction. No major anastomosis-related morbidity was observed.

Conclusions: This technique offers a standardized and proficient approach to intracorporeal anastomosis, facilitating its creation with high reproducibility. While promising, these results warrant validation in larger groups and comparison with existing techniques.