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Left-sided Colectomy With Retroileal Colorectal Anastomosis
John L. Rombeau, MD;
John P. Collins, MB, BS, FRACS;
Rupert B. Turnbull, Jr, MD, CM
Arch Surg. 1978;113(8):1004-1005.
Abstract
• Following resection of the sigmoid and descending colon for cancer or extensive diverticular disease, it may be impossible to make a colorectal anastomosis due to inadequate length of the residual transverse colon. To correct this problem, the remaining transverse colon may be pulled into the pelvis by making a "window" in the terminal part of the ileal mesentery.
From January 1966 to January 1975, 302 resections of the descending colon with colorectal anastomoses were performed by one of the authors (R.B.T.) for upper sigmoid cancer and extensive diverticulitis at the Cleveland Clinic. Eleven patients (4%) had retroileal colorectal anastomoses.
The retroileal approach is a technical aid when performing an extensive left-sided colectomy and/or when there is insufficient length of residual transverse colon to make a tension-free colorectal anastomosis.
(Arch Surg 113:1004-1005, 1978)
Author Affiliations
From the VA Hospital, Martinez, Calif (Dr Rombeau), Royal Melbourne Hospital, Australia (Dr Collins), and the Department of Colon and Rectal Surgery, Cleveland Clinic Foundation (Dr Turnbull).
Footnotes
Accepted for publication April 3, 1978.
Reprint requests to Department of Surgery, VA Hospital, 150 Muir Rd, Martinez, CA 94553 (Dr Rombeau).
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