Laparoscopic caecodivision ACE (antegrade continence enema) procedure

Since the first description of the antegrade colonic enema (ACE) procedure by Malone in 1990 [1], multiple modifications have been developed to overcome some of the initial problems. We describe what we believe to be the first laparoscopic caecodivision method of the ACE procedure. This combines the advantages of laparoscopic technique with those of not using the appendix.