Laparoscopic high anterior resection for full thickness rectal prolapse entails vascular division and bowel transection at the rectosigmoid junction as well as sigmoid resection. A window between the mesorectum and the rectum allows bowel transection at the rectosigmoid junction obviating the need for division of the mesorectum. Performing sigmoid resection with preservation of the superior rectal artery will contain anastomotic leak rates.

        Key words: anastomotic leakage, colorectal anastomosis, laparoscopic sigmoid resection, laparoscopic colorectal surgery, preservation of superior rectal artery, rectal prolapse, surgical technique