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Transanal division of the anorectal junction followed by laparoscopic low anterior resection and coloanal pouch anastomosis: A technique facilitated by a balloon port Saklani, Avanish P.; Shah, Parin; Naguib, Nader; Tanner, Nicola; Mekhail, Peter & Masoud, Ashraf G. Abstract We performed a laparoscopic ultra low anterior resection in two patients with low rectal cancers (3 cm from dentate line). A transanal division and continuous suture closure of anorectal junction was performed first followed by laparoscopic low anterior resection. A handsewn anastomosis between colonic pouch/transverse coloplasty and anal canal was facilitated by use of a transanal balloon port. Keywords Balloon port, hand-sewn coloanal pouch anastomosis, laparoscopic low anterior resection, transanal approach

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