Stapling Technique for Ileoanal Anastomosis with Ileal Reservoir after Proctocolectomy

Abstract

As, since 1978, we routinely use staplers for low rectal surgery with satisfaction, the transanal manual anastomosis used in many institutions for ileoanal pouch seems to be a retrogression in modern colorectal surgery. The apparent necessity of conserving a short muscular cuff of rectum stands in the way of a mechanical anastomosis. We do not preserve it and the stapling technique that we describe realizes a circular side-to-end anastomosis between a J-shaped ileal loop and the pectinate line, with perfect results.