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Fig. 2 | BMC Surgery

Fig. 2

From: Preservation of the left colic artery in modified laparoscopic anterior rectal resections without auxiliary abdominal incisions for transanal specimen retrieval

Fig. 2

Operation steps of laparoscopic low anterior rectal resection (CRC-NOSES I), in which specimens are extracted through the anus without auxiliary abdominal incisions. Picture 2 is an actual picture of Picture 1. a The left colic vessels were exposed and the lymph nodes were dissected; b the specimen was everted in two steps; c purse-string forceps were used to clamp the proximal colon and create a purse-string suture; d the anvil was inserted; e the intestinal tube was disconnected at the distal end of the tumour; f the anastomat was inserted through the anus and an end-to-end anastomosis of the rectosigmoid colon was performed. The ownership of all pictures belongs to the author

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