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Robotic low anterior resection with complete splenic flexure mobilization and defunctioning left-sided loop colostomy: a case series
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.ORCID iD: 0000-0002-0974-6373
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.
Umeå University, Faculty of Medicine, Department of Radiation Sciences.ORCID iD: 0000-0002-7277-6305
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2024 (English)In: Journal of Surgical Case Reports, E-ISSN 2042-8812, Vol. 2024, no 1, article id rjad709Article in journal (Refereed) Published
Abstract [en]

A defunctioning stoma is used to alleviate the consequences of anastomotic leakage after low anterior resection for rectal cancer. A loop ileostomy is often preferred but may lead to dehydration and kidney injury. Here, we present a case series for an alternative: the left-sided loop colostomy. A convenience sample of four patients underwent robotic low anterior resection for rectal cancer. A complete splenic flexure mobilization and a total mesorectal excision were performed. To defunction the anastomosis, the redundant left colon was brought up to a stoma site in the left iliac fossa and matured as a loop colostomy. Two patients experienced minor stoma leaks and one also had a small prolapse, while all patients had their colostomies reversed on average 7 months after surgery without complications. There were no dehydration episodes and creatinine levels remained within baseline levels at end of follow-up (on average 18 months).

Place, publisher, year, edition, pages
Oxford University Press, 2024. Vol. 2024, no 1, article id rjad709
Keywords [en]
anastomotic leakage, defunctioning stoma, loop stoma, total mesorectal excision
National Category
Surgery
Identifiers
URN: urn:nbn:se:umu:diva-220445DOI: 10.1093/jscr/rjad709ISI: 001141131100005Scopus ID: 2-s2.0-85183294769OAI: oai:DiVA.org:umu-220445DiVA, id: diva2:1838221
Funder
Region Västerbotten, HSN 530-2022Available from: 2024-02-15 Created: 2024-02-15 Last updated: 2024-02-16Bibliographically approved

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Rutegård, MartinGerdin, AndersForssell, JanniceSjöström, OlleBoström, Petrus

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Rutegård, MartinGerdin, AndersForssell, JanniceSjöström, OlleBoström, Petrus
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Journal of Surgical Case Reports
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CiteExportLink to record
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