대한대장항문학회

We report a technique for laparoscopic segmental colon resection and anastomosis.<br>Laparoscopic bowel resections were first reported in 1991. Laparoscopic bowel resection<br>and anastomosis has not been Popular because of difficulties in anastomosis. There are<br>three difficulties in laparoscopic colon resection and anastomosis; localization of the<br>tumor, removal of the resected colon, and anastomosis.<br>A sixty-five-year-old male visited our hospital with the chief complaint of diarrhea.<br>Colonoscopic examination revealed a 5cm villous adenoma with a wide base in the<br>sigmoid colon 20 cm above the anal verge. Laparoscopic colon resection was performed<br>on 6 March, 1992. The tumor was localized by intraoperative sigmoidoscopy and the<br>resected colon was removed through the anus using a sigmoidoscope. The anastomosis<br>was then performed using a conventional EEA stapler. Because the purse string suture<br>is difficult to perform laparoscopically, endoloops were used in stead. This<br>new<br>technique can be applied to selected Patients with cole rectal disease.<br>