Single-layer continuous suturing for end-to-end colonic anastomosis using a modified closed-bowel technique

We describe our modified technique of performing one-layer continuously sutured colonic anastomosis, which we introduced in 1995. We also present the preliminary results of performing end-to-end intra-abdominal colonic anastomosis constructed by single-layer continuous suturing using the closed-bowel technique in 106 patients. Mortality was 2.8%, the incidence of early postoperative surgical complications was 3.8% [including anastomotic leakages (1.9%)], and the rate of reoperation for infective complications was 2.8%. These positive results show that this is an effective method of performing end-to-end colonic anastomosis. We think that our technical modification provides advantages for one-layer continuously sutured colonic anastomosis.