A laparoscopic small bowel resection with primary anastomosis is most frequently indicated for benign diseases. These would include isolated Crohn's disease, gastrointestinal stromal tumors, benign strictures, and vascular malformations. Malignant conditions represent relative contraindications in that they are rare and if diagnosed or suspected we do not believe laparoscopic methods have a defined role in their treatment. The conduct of the operation should be in a manner very similar to that of a conventional small bowel resection.
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