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Is It Necessary to Endoscopically Evaluate the Anastomosis in Robotic or Laparoscopic Surgical Procedures for Colorectal Cancer?
J Laparoendosc Adv Surg Tech A
November 2024
Gastroenterological Surgery Department, Institution Ministry of Health Antalya Training and Research Hospital, Antalya, Turkey.
In the surgical treatment of colorectal cancers, disease-free survival and life expectancy are inversely proportional to the increase in complications. We evaluated the superiority of colonoscopy and air and water tests in detecting anastomotic leaks in sigmoid and rectosigmoid junction colon cancers. Data of patients who underwent robotic/laparoscopic surgical procedures for sigmoid and rectosigmoid junctional colon cancers at a single center between January 2018 and February 24 were retrospectively evaluated.
View Article and Find Full Text PDFLaparoscopic redo surgery for sigmoid volvulus following laparoscopic sigmoidectomy.
Surg Case Rep
June 2024
Departments of Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoin- Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan.
Background: Sigmoid volvulus (SV) is an acute abdominal condition characterized by torsion of the sigmoid colon around the mesentery, and often results in intestinal obstruction that may progress to bowel ischemia, necrosis, or perforation. Although SV commonly occurs due to predisposing factors like anatomic variations, age-related motility disorders, chronic constipation, and neurologic diseases, its incidence following sigmoid colon cancer surgery has rarely been reported. Herein, we report a rare case of recurrent SV following laparoscopic sigmoidectomy, which was successfully treated by laparoscopic redo surgery.
View Article and Find Full Text PDFWhat Is the Optimal Strategy for Pouch Salvage at Time of Redo Ileal-Pouch Anal Anastomosis? Pouch Repair with Reanastomosis vs Pouch Excision with Neopouch.
J Am Coll Surg
November 2024
From the Department of Colorectal Surgery, Digestive Diseases Institute, Cleveland Clinic, Cleveland, OH.
Background: The long-term risk of pouch failure after restorative proctocolectomy with ileal-pouch anal anastomosis (IPAA) range from 5% to 15%. Salvage surgery for failing IPAA may be achieved by disconnecting the IPAA and either repairing and reusing the existing pouch (REP) or constructing a neopouch (NEO). We aimed to evaluate whether there are differences in long-term functional pouch survival and functional outcomes between the REP group and the NEO group.
View Article and Find Full Text PDFModified Graham Patch Repair of Small Bowel Anastomotic Leak.
Am Surg
July 2024
Division of Colon & Rectal Surgery, Department of Surgery, University of South Florida Morsani College of Medicine, Tampa, FL, USA.
The modified Graham patch repair is a well-established technique for management of perforating foregut injuries, often learned by surgeons during general surgery training. There is, however, little to no data regarding the utilization of this technique for perforation of the distal midgut or in the re-operative field. We present two cases of midgut anastomotic complications successfully managed with modified graham patch repair at our institution.
View Article and Find Full Text PDFOperative management of anastomotic leak after sigmoid colectomy for left-sided diverticular disease: Ileostomy creation may be as safe as colostomy creation.
Colorectal Dis
June 2023
Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Article Synopsis
- The study aimed to analyze different surgical approaches for managing anastomotic leaks that occur after sigmoid colectomy due to diverticular disease, as there is limited existing research on the topic.
- It found that out of over 37,000 patients, approximately 2.7% experienced an anastomotic leak, with more than half of those undergoing reoperation; the majority of these reoperations involved stoma creation (colostomy or ileostomy).
- The results indicated no significant differences in recovery metrics (length of hospital stay, readmission rates, or mortality) between ileostomy and colostomy, but ileostomies were associated with higher rates of closure afterward, suggesting that ileostomy may be
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