Published online Nov 28, 2013. doi: 10.5412/wjsp.v3.i3.25
Revised: October 22, 2013
Accepted: November 7, 2013
Published online: November 28, 2013
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.