Laparoscopic colopexy for neo-left colonic volvulus 10 years after anterior resection
| Autor: | Mifanwy Reece, Anil Keshava, David Mansouri, Roy Huynh, Thuy-My Nguyen |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
AcademicSubjects/MED00910 medicine.medical_treatment Case Report Anastomosis Abdominal wall 03 medical and health sciences 0302 clinical medicine parasitic diseases medicine Laparoscopy Prolene jscrep/040 medicine.diagnostic_test business.industry Colostomy medicine.disease digestive system diseases Endoscopy Volvulus Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology business Complication |
| Zdroj: | Journal of Surgical Case Reports |
| ISSN: | 2042-8812 |
| DOI: | 10.1093/jscr/rjaa555 |
| Popis: | Recurrent neo-left colonic volvulus is a rare complication following anterior resection. The conventional approach to treating recurrent volvulus is a large bowel resection with anastomosis or colostomy formation after successful endoscopic decompression. However, in elderly and comorbid patients, this can result in significant morbidity or mortality. Laparoscopic colopexy is a less invasive alternative that has not been previously reported for the treatment of neo-left colonic volvulus. We describe a case of an 86-year-old male who presented with recurrent neo-left colonic volvulus 10 years post-laparoscopic anterior resection for cancer. A laparoscopic colopexy was performed to resolve the volvulus and prevent future recurrence. Interrupted prolene sutures were used to fix the neo-left colon to the posterior stomach and the left lateral abdominal wall. The patient had an uncomplicated postoperative recovery and was discharged 6 days after surgery. He was well at 6 months follow-up. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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