Mesenteric closure with polymer-ligating clips after right colectomy with complete mesocolic excision for cancer and mesentery-based ileocolic resection for Crohn’s disease
Autor: | Leandro Siragusa, Giuseppe S. Sica, Marzia Franceschilli, Vittoria Bellato, Danilo Vinci, Bruno Sensi |
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Rok vydání: | 2021 |
Předmět: |
Laparoscopic surgery
medicine.medical_specialty Polymers medicine.medical_treatment Polymer-ligating clips Mesenteric closure Crohn Disease CME medicine Humans Mesentery CLIPS Colectomy computer.programming_language Crohn's disease business.industry Gastroenterology Cancer Surgical Instruments medicine.disease Colorectal surgery CD Settore MED/18 Surgery medicine.anatomical_structure Colonic Neoplasms Right Colectomy Laparoscopy business computer Mesocolon Abdominal surgery |
Zdroj: | Techniques in Coloproctology. 25:1079-1084 |
ISSN: | 1128-045X 1123-6337 |
Popis: | Mesenteric closure following right colectomy remains controversial and, following the advent of laparoscopic surgery, many surgeons do not routinely close the mesentery after colorectal resection. Nevertheless, especially after the introduction of operations such as right colectomy with complete mesocolic excision and ileocolic resections with extensive mesentery removal for Crohn's disease, the wide mesenteric defect resulting from the dissections can certainly expose the patients to complications such as internal hernias or volvuli. In general, mesenteric closure requires intracorporeal suturing. We describe a simple technique for the closure of the mesentery after surgical resection using polymer-ligating clips. This novel technique seems to minimize the time, effort and risk inherent to the procedure, even after large mesenteric excisions. |
Databáze: | OpenAIRE |
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