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- Title
Laparoscopic Deloyers procedure for tension-free anastomosis after extended left colectomy: technique and results.
- Authors
Sciuto, A.; Grifasi, C.; Pirozzi, F.; Leon, P.; Pirozzi, R.; Corcione, F.
- Abstract
Background: The Deloyers procedure, which includes inversion of the right colon around the axis of the ileocolic vessels, can be used to achieve a well vascularized, tension-free colorectal anastomosis after extended left colectomy. The aim of this study is to report our technique and outcome in a series of ten consecutive patients who underwent right colonic transposition by laparoscopic approach. Methods: Charts were retrospectively reviewed to analyze postoperative outcome and bowel function. A video was recorded to demonstrate the procedure. Results: Conversion was required in one (10%) patient due to extensive adhesions. No intraoperative complications were recorded. Anastomotic leakage occurred in one (10%) case and was managed with peritoneal lavage and ileostomy. Six months after surgery, all patients reported a median number of 2.5 (range 2-3) bowel movements per day with solid stool consistency. Neither anastomotic stricture nor bowel ischemia was found at 1-year endoscopic follow-up. Conclusion: Our experience shows that laparoscopic right colonic transposition is a safe and feasible procedure and provides good functional outcomes.
- Subjects
LEFT hemicolectomy; COLON cancer treatment; SURGICAL anastomosis; LAPAROSCOPIC surgery; PROCTOLOGY; TREATMENT effectiveness
- Publication
Techniques in Coloproctology, 2016, Vol 20, Issue 12, p865
- ISSN
1123-6337
- Publication type
Article
- DOI
10.1007/s10151-016-1562-z