Anastomosis Procedure through an Inguinal Hernia Incision inSimultaneous Laparoscopic Anterior Resection and InguinalHernia Repair

For laparoscopic anterior resection, an additional smallincision is usually placed in the left lower quadrant or thesuprapubic portion. as a left inguinal hernia incision is closeto both the left lower quadrant and the suprapubic portion,such an incision can be used for anastomosis in laparoscopicanterior resection, without additional incisions. we reporta laparoscopic anterior resection using a left inguinalhernia incision for colorectal anastomosis, in a patient whounderwent concomitant left inguinal hernia repair. after atotal mesorectal excision was performed laparoscopically,the distal portion of the rectum was transected by a stapler.a 4 cm skin incision was made in the left inguinal regionand carried down to the peritoneum through the hernia sac.the bowel resection was performed extracorporeally, andan anvil was placed at the proximal end of the colon overa purse-string suture. after colorectal anastomosis wasperformed using a circular stapler inserted through the anus,the inguinal hernia was repaired with a mesh. the inguinalwound healed without surgical site infection, and the patientwas discharged ten days after surgery.