Laparoscopic intestinal derotation: Original technique

Mario Valle, Orietta Federici, Enrico Tarantino, Francesco Corona, Alfredo Garofalo

Research output: Contribution to journalArticlepeer-review

Abstract

The intestinal derotation technique, introduced by Cattel and Valdoni 40 years ago, is carried out using a laparoscopic procedure, which is described here for the first time. The method is effective in the treatment of malign lesions of the III and IV duodenum and during laparoscopic subtotal colectomy with anastomosis between the ascending colon and the rectum. Ultimately, the procedure allows for the verticalization of the duodenal C and the anterior positioning of the mesenteric vessels, facilitating biopsy and resection of the III and IV duodenal portions and allowing anastomosis of the ascending rectum, avoiding both subtotal colectomy and the risk of torsion of the right colic loop. Although the procedure calls for extensive experience with advanced video-laparoscopic surgery, it is both feasible and repeatable. In our experience we have observed no mortality or morbidity.

Original languageEnglish
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume19
Issue number3
DOIs
Publication statusPublished - Jun 2009

Keywords

  • Duodenal adenocarcinoma
  • Laparoscopic colectomy
  • Laparoscopic intestinal derotation

ASJC Scopus subject areas

  • Surgery

Fingerprint Dive into the research topics of 'Laparoscopic intestinal derotation: Original technique'. Together they form a unique fingerprint.

Cite this