Laparoscopic Deloyers procedure for tension-free anastomosis after extended left colectomy: technique and results

A. Sciuto, C. Grifasi, F. Pirozzi, P. Leon, R. E.M. Pirozzi, F. Corcione

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The Deloyers procedure, which includes inversion of the right colon around the axis of the ileocolic vessels, can be used to achieve a well vascularized, tension-free colorectal anastomosis after extended left colectomy. The aim of this study is to report our technique and outcome in a series of ten consecutive patients who underwent right colonic transposition by laparoscopic approach. Methods: Charts were retrospectively reviewed to analyze postoperative outcome and bowel function. A video was recorded to demonstrate the procedure. Results: Conversion was required in one (10%) patient due to extensive adhesions. No intraoperative complications were recorded. Anastomotic leakage occurred in one (10%) case and was managed with peritoneal lavage and ileostomy. Six months after surgery, all patients reported a median number of 2.5 (range 2–3) bowel movements per day with solid stool consistency. Neither anastomotic stricture nor bowel ischemia was found at 1-year endoscopic follow-up. Conclusion: Our experience shows that laparoscopic right colonic transposition is a safe and feasible procedure and provides good functional outcomes.

Original languageEnglish
Pages (from-to)865-869
Number of pages5
JournalTechniques in Coloproctology
Volume20
Issue number12
DOIs
Publication statusPublished - Dec 1 2016
Externally publishedYes

Keywords

  • Colorectal anastomosis
  • Deloyers procedure
  • Laparoscopic colorectal surgery
  • Left colectomy
  • Right colon transposition

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

Fingerprint Dive into the research topics of 'Laparoscopic Deloyers procedure for tension-free anastomosis after extended left colectomy: technique and results'. Together they form a unique fingerprint.

Cite this