We confirmed the clinical advantages of RRC with IA over LRC with EA in postoperative recovery outcomes and complication rate. Furthermore, our preliminary analysis in a cohort of 30 TRRC shows promising results.

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We propose a simple, easy technique to perform a stapled colorectal anastomosis close to the anal sphincter that may help to lower leak rates. This is the same technique used by us for successful performance of intrathoracic and abdominal esophagoenteric mechanical anastomoses. The technique consists of hand sewing a double pursestring suture before sectioning the rectum.