How is side-to-end anastomosis (Baker) performed during colon resection (colectomy)?

Updated: Apr 05, 2021
  • Author: David E Stein, MD, MHCM; Chief Editor: Vikram Kate, FRCS, MS, MBBS, PhD, FACS, FACG, FRCS(Edin), FRCS(Glasg), FIMSA, MAMS, MASCRS, FFST(Ed)  more...
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Answer

Although the authors routinely perform an end-to-end anastomosis, a side-to-end anastomosis can also be performed. When using a stapler, it should be placed through the distal end and brought out 4 cm proximally at the antimesenteric border. The distal end is then stapled closed and oversewn. In low pelvic anastomoses, there may be a functional benefit for side-to-end anastomosis. In addition, a colonic pouch may be created to allow better function postoperatively.


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