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Robotic low anterior resection with complete splenic flexure mobilization and defunctioning left-sided loop colostomy: a case series.
- Source :
-
Journal of Surgical Case Reports . Jan2024, Vol. 2024 Issue 1, p1-4. 4p. - Publication Year :
- 2024
-
Abstract
- 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). [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 20428812
- Volume :
- 2024
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Journal of Surgical Case Reports
- Publication Type :
- Academic Journal
- Accession number :
- 175648387
- Full Text :
- https://doi.org/10.1093/jscr/rjad709