RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Jr., Robert M.
A1 Pawlik, Timothy M.
A1 Vaccaro, Patrick S.
A1 Bitans, Marita
A1 Baker, Anthony S.
SR Print(0)
ID 1187821586
T1 Colon Anastomosis, Stapled
T2 Zollinger’s Atlas of Surgical Operations, 11e
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781260440850
LK accesssurgery.mhmedical.com/content.aspx?aid=1187821586
RD 2024/04/20
AB An  alternative  to  open  anastomosis  for  the  large  intestine  is  the  method  of  triangulation  using  three  separate  staple  lines.  It  is  particularly  useful  in  colocolostomy  anastomoses,  as  in  left-sided  colectomies,  because  it  does  not  require  rotation  of  the  mesentery.  It  can  also  be  used  to  close  a  loop  colostomy  as  an  alternative  to  the  sutured  technique  in  Chapter  57.  If  there  is  adequate  length  to  rotate  the  mesentery,  an  anastomosis  can  be  created  in  a  side-to-side  fashion,  similar  to  that  seen  in  Chapter  49.