Short stump and High anastomosis Pull-through (SHiP) procedure: an evolution of the Turnbull-Cutait technique

The main objective of this session is to talk about the recent interest in the Short stump and High anastomosis Pull-through (SHiP) procedure that encompasses the evolution of the Turnbull-Cutait technique. As many surgeons know, this technique is performed to treat patients with ultra-lower rectal cancer. 

Despite advances in coloanal anastomosis techniques, the number of adequate procedures without complications still falls behind. When it comes to 'Short stump and High anastomosis Pull-through' (SHiP), it is a procedure for Delayed Coloanal Anastomosis without a stoma.

Some years ago, surgeons started to use the Delayed Coloanal Anastomosis technique because the recurring issue was the need to cover and protect this anastomosis with a protective stoma. When it comes to improving results using the Delayed Colon Anastomosis method, the main consideration is fully understanding what the drawbacks of this technique are. 

During the session, audience members raise concerns about initiating this procedure during the retroscopy or during the colonoscopy. In addition, Dr. Bianco also talks about whether patients suffered any postoperative complications such as LARS and at which level.