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Table 1 Advantages and disadvantages of the intracorporeal anastomosis

From: Emergency laparoscopic ileo-colic resection and primary intracorporeal anastomosis for Crohn’s acute ileitis with free perforation and faecal peritonitis: first ever reported laparoscopic treatment

Advantages

Disadvantages

Less mobilization of the colon

Need of high skilled and trained in laparoscopic suturing surgeons

No manipulation of abdominal organs, in order to reduce adhesions

Higher direct costs of intracorporeal instruments especially the stapler (if compared with extracorporeal)

Shorter extraction site laparotomy, with clinical benefits (less pain and lower rates of wound infection)

Longer operative time (compared with extracorporeal anastomosis) with increased indirect cost and potential higher complication rates

Reduced risk of unrecognized twisting of the terminal ileum mesentery, because of laparoscopic better view

Higher rate of local infections due to the peritoneal contamination of intra-abdominal entero/colotomy with spillage