If indicated even a loop iliostomy can be offered to patient. Out of these the most difficult technique is a transverse colonic resection in an obese patient. Large malignant and inflammatory masses also are relative contraindication for surgery. Obstructed lesions are absolute contraindication for Lap surgery. To resect the bowel Endo-staplers can be used.
Smaller length is easy to handle and manoeuvre.
If larger lumen needs to be divided, it's better to fire smaller endo G.I.A. 30 twice. Vascular pedicles can also be divided by using 2 mm height stapler. We prefer to tie the vessels individually at the root of mesocolon. Proper selection of size is very essential to form a proper anastomosis. It has been observed that bowel function returns much earlier in lap surgery.