Nonrestoration of pneumoperitoneum in laparoscopic-assisted left colon resection

Laparoscopic-assisted left colon resection entails reestablishing pneumoper itoneum and laparoscopic colorectal anastomosing, if performed through a le ft lower-quadrant incision. A horizontal suprapubic incision allows direct view of the colorectal anastomosis obviating the need for reestablishing pn eumoperitoneum. Performing colorectal anastomoses in an open fashion via a suprapubic incision and with nonrestoration of pneumoperitoneum will contai n operating time in laparoscopic-assisted left colectomy. Am J Surg. 2000;1 80:174-175. (C) 2000 by Excerpta Medica, Inc.