Dr. Marco Piccino

Sils Subtotal Colectomy With Antiperistaltic Cecorectal Anastomosis

This video takes you step by step through the subtotal colectomy with antiperistaltic cecorectal anastomosis, first described by Leopoldo Sarli in 2001, and herein originally presented using a laparoscopic single incision approach. Among benign disorders, the indication for this intervention is restricted to a minority of patients (often young women in their 40s, typically with low body mass index), with symptoms of constipation sustained by a primary colonic transit disturbance refractory to medical treatment. The single-incision laparoscopic approach yields outstanding cosmetic results in this setting.