duct and cystic artery and tied them off with 0 silk ties proximally and distally before transecting them.We then shelled the gallbladder from its fossa using electrocautery.We placed a pack up by the liver bed.We then identified the rectal stump and dissected this free.We then made an elliptical incision around the colostomy opening and carried our dissection down to fascia,freed up the stoma,and fired our TLC 75 stapler across the descending colon.We sent the specimen to pathology for permanent.We mobilized the left colon along the avascular line of Toldt up and around the splenic flexure.Once we had adequate length,we placed a Glassman clamp proximally on the rectum and distally on the descending colon.We then performed a two-layer,hand-sewn,end-to-end anastomosis with an outer layer of 3-0 silk Lembert and inner layer of running 3-0 Vicryl.There was a patent anastomosis,and we could easily milk contents through with no evidence of spilling.We then closed the fascia from the colostomy site with interrupted 0 Vicryl and running 0 PDS.We closed the skin with skin clips.All sponge and needle counts were correct.Patient tolerated this well and was taken to recovery in stable condition.