Official websites use. Share sensitive information only on official, secure websites. Colorectal anastomosis is a sophisticated problem that demands an elaborate discussion and an elegant solution. Keywords: colon, anastomotic leak, colorectal anastomosis, technical considerations.
The colorectal anastomosis is the apotheosis of the specialty, for inasmuch, as it bears the same name and it distinguishes the colorectal surgeon from their peers. It should come as no surprise that outcomes are considerably better in specialized hands 1 2 3 4 5 which cannot be overlooked when the stakes are so high.
The early history of distal colon and rectal surgery is a testament to the challenges of achieving adequate resection without compromising function. The first successful sigmoid resection with end-to-end anastomosis was performed in by Jean Francois Reybard who was subsequently censured by the Paris Academy of Medicine as drastic and dangerous.
Throughout the 19th century, resection with stoma and distal closure remained the favored approach for colorectal cancers. Those who survived, often suffered from permanent functional disability and cutaneous fistulae.
Furthermore, the extraperitoneal rectum remained largely inaccessible and most operations were palliative.
