Title |
Laparoscopic Deloyers procedure for tension-free anastomosis after extended left colectomy: technique and results
|
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Published in |
Techniques in Coloproctology, December 2016
|
DOI | 10.1007/s10151-016-1562-z |
Pubmed ID | |
Authors |
A. Sciuto, C. Grifasi, F. Pirozzi, P. Leon, R. E. M. Pirozzi, F. Corcione |
Abstract |
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. Charts were retrospectively reviewed to analyze postoperative outcome and bowel function. A video was recorded to demonstrate the procedure. 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. Our experience shows that laparoscopic right colonic transposition is a safe and feasible procedure and provides good functional outcomes. |
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Geographical breakdown
Country | Count | As % |
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United States | 5 | 15% |
Spain | 4 | 12% |
Mexico | 2 | 6% |
United Kingdom | 2 | 6% |
Brazil | 1 | 3% |
Turkey | 1 | 3% |
Canada | 1 | 3% |
India | 1 | 3% |
Unknown | 16 | 48% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 18 | 55% |
Scientists | 6 | 18% |
Practitioners (doctors, other healthcare professionals) | 6 | 18% |
Science communicators (journalists, bloggers, editors) | 3 | 9% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 34 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Other | 6 | 18% |
Researcher | 6 | 18% |
Student > Ph. D. Student | 4 | 12% |
Student > Master | 3 | 9% |
Student > Postgraduate | 2 | 6% |
Other | 4 | 12% |
Unknown | 9 | 26% |
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Medicine and Dentistry | 19 | 56% |
Agricultural and Biological Sciences | 1 | 3% |
Unspecified | 1 | 3% |
Unknown | 13 | 38% |