80 Chapter 3 b. Intraoperative reporting elements Conversion MIS to open Number of staple loads for rectal transection Perfusion assessment of conduit with fluorescence angiography Anastomotic integrity testing Location of inferior mesenteric artery ligation Yes No N /A = open N /A = handsewn 0 1 2 >2 Yes No Yes Consequence: … No Distal to the left colic artery Proximal to the left colic artery Pitfalls Diverting stoma creation Splenic flexure mobilization Intraoperative difficulty Critical events P elvic stapler failure O ther device failures Unplanned multivisceral* resection or repair No Yes unplanned planned ͳ ileostomy ͳ colostomy Yes No D istance of the anastomosis (cm) from AV A cute blood loss requiring intraop blood transfusion R edo pelvic surgery
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