Robotic low anterior resection with complete splenic flexure mobilization and defunctioning left-sided loop colostomy: a case seriesVisa övriga samt affilieringar
2024 (Engelska)Ingår i: Journal of Surgical Case Reports, E-ISSN 2042-8812, Vol. 2024, nr 1, artikel-id rjad709
Artikel i tidskrift (Refereegranskat) 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).
Ort, förlag, år, upplaga, sidor
Oxford University Press, 2024. Vol. 2024, nr 1, artikel-id rjad709
Nyckelord [en]
anastomotic leakage, defunctioning stoma, loop stoma, total mesorectal excision
Nationell ämneskategori
Kirurgi
Identifikatorer
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
Forskningsfinansiär
Region Västerbotten, HSN 530-20222024-02-152024-02-152025-03-20Bibliografiskt granskad