TY  - CHAP
M1  - Book, Section
TI  - ANTERIOR RESECTION OF RECTOSIGMOID: SIDE-TO-END ANASTOMOSIS (BAKER)
A1  - Ellison, E. Christopher
A1  - Zollinger, Robert M.
PY  - 2016
T2  - Zollinger's Atlas of Surgical Operations, 10e
AB  - The  low-lying  lesions  of  the  rectum  and  rectosigmoid  may  be  resected  and  bowel  continuity  established  anterior  to  the  sacrum  in  a  variety  of  ways.  Although  the  end-to-end  anastomosis  (Chapter  61)  can  be  used,  side-to-end  anastomosis  is  advantageous  in  cases  with  considerable  discrepancy  in  size  between  the  resected  bowel  and  the  rectal  stump,  particularly  in  obese  patients.  When  the  lesion  is  so  low  that  abdominoperineal  resection,  with  sacrifice  of  the  rectum,  ordinarily  would  be  indicated,  and  in  the  presence  of  distant  metastases,  or  when  the  patient  refuses  to  give  permission  for  a  permanent  colostomy,  bowel  continuity  can  be  established  by  a  very  low  side-to-end  anastomosis.  This  approach  may  occasionally  be  needed  in  colostomy  (Hartmann’s)  closure,  and  a  similar  ileorectal  anastomosis  can  be  used  in  closing  an  ileostomy  (e.g.,  after  total  colectomy  for  pseudomembranous  colitis).  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/20
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1127272974
ER  -