LAUSR

Tension-free restoration of bowel continuity following left sided colorectal resectional procedures may be problematic. While splenic flexure mobilisation is the routine lengthening technique for the descending colon with respect to rectal and sigmoid resections, more proximal resections that require the anastomosis using the distal transverse or proximal descending colon may not easily reach the rectal remnant due to the middle colic trunk pivot.1 Sacrifice of this vascular bundle at its origin may facilitate length but the newly ischemic portion of bowel will then need resection forcing further colonic shortening. In such cases, the Turnbull4 /Toupet5 retroileal pull-through technique may be useful.6.