Laparoscopic repair of colonic anastomotic leak in an elderly patient.
| Autor: | Shadis R; Department of Surgery, Abington Memorial Hospital, Abington, PA, USA., Zebley DM, Kim SY, Hofmann MT, Fassler SA |
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| Jazyk: | angličtina |
| Zdroj: | JSLS : Journal of the Society of Laparoendoscopic Surgeons [JSLS] 2011 Oct-Dec; Vol. 15 (4), pp. 555-7. |
| DOI: | 10.4293/108680811X13176785204553 |
| Abstrakt: | Background: Laparoscopy to repair iatrogenic colonoscopic perforation of the colon has proven to be a safe, effective, and reproducible means to treat these potentially devastating emergencies. The use of the laparoscope provides exceptional diagnostic yield, and under the hand of a trained surgeon, produces excellent therapeutic results while minimizing recovery time for the patient. Methods: We report the case of an 86-year-old man who underwent emergent laparoscopic repair of a postoperative anastomotic leak following sigmoid colectomy. Results: The patient underwent laparoscopic oversewing of a colonic anastomotic leak, omental patch, and diverting loop ileostomy. The patient recovered fully from his emergency procedure without any further complications. Conclusion: Laparoscopic surgery can be extended to a wider variety of colorectal emergencies in a carefully selected group of patients, including the elderly. |
| Databáze: | MEDLINE |
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