Rationale (I)

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• Minimizes the potential of creating a volvulus of at the anastomosis when doing an extracorporeal anastomosis

• Allows one to avoid a midline incision or upper abdominal lateral incision, decreasing post operative pain and significantly reducing incisional hernia rates

• Requires less dissection around the transverse colon (gastrocolic ligament) decreasing the degree of contiguous tissue trauma

• Avoids mesenteric stretch and mesenteric bleeding that can occur in ECA which may increase potential for ileus

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