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Laparoscopic colopexy for neo-left colonic volvulus 10 years after anterior resection

Recurrent neo-left colonic volvulus is a rare complication following anterior resection. The conventional approach to treating recurrent volvulus is a large bowel resection with anastomosis or colostomy formation after successful endoscopic decompression. However, in elderly and comorbid patients, t...

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Detalles Bibliográficos
Autores principales: Huynh, Roy, Reece, Mifanwy, Mansouri, David, Nguyen, Thuy-My, Keshava, Anil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7778506/
https://www.ncbi.nlm.nih.gov/pubmed/33425325
http://dx.doi.org/10.1093/jscr/rjaa555
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author Huynh, Roy
Reece, Mifanwy
Mansouri, David
Nguyen, Thuy-My
Keshava, Anil
author_facet Huynh, Roy
Reece, Mifanwy
Mansouri, David
Nguyen, Thuy-My
Keshava, Anil
author_sort Huynh, Roy
collection PubMed
description Recurrent neo-left colonic volvulus is a rare complication following anterior resection. The conventional approach to treating recurrent volvulus is a large bowel resection with anastomosis or colostomy formation after successful endoscopic decompression. However, in elderly and comorbid patients, this can result in significant morbidity or mortality. Laparoscopic colopexy is a less invasive alternative that has not been previously reported for the treatment of neo-left colonic volvulus. We describe a case of an 86-year-old male who presented with recurrent neo-left colonic volvulus 10 years post-laparoscopic anterior resection for cancer. A laparoscopic colopexy was performed to resolve the volvulus and prevent future recurrence. Interrupted prolene sutures were used to fix the neo-left colon to the posterior stomach and the left lateral abdominal wall. The patient had an uncomplicated postoperative recovery and was discharged 6 days after surgery. He was well at 6 months follow-up.
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spelling pubmed-77785062021-01-07 Laparoscopic colopexy for neo-left colonic volvulus 10 years after anterior resection Huynh, Roy Reece, Mifanwy Mansouri, David Nguyen, Thuy-My Keshava, Anil J Surg Case Rep Case Report Recurrent neo-left colonic volvulus is a rare complication following anterior resection. The conventional approach to treating recurrent volvulus is a large bowel resection with anastomosis or colostomy formation after successful endoscopic decompression. However, in elderly and comorbid patients, this can result in significant morbidity or mortality. Laparoscopic colopexy is a less invasive alternative that has not been previously reported for the treatment of neo-left colonic volvulus. We describe a case of an 86-year-old male who presented with recurrent neo-left colonic volvulus 10 years post-laparoscopic anterior resection for cancer. A laparoscopic colopexy was performed to resolve the volvulus and prevent future recurrence. Interrupted prolene sutures were used to fix the neo-left colon to the posterior stomach and the left lateral abdominal wall. The patient had an uncomplicated postoperative recovery and was discharged 6 days after surgery. He was well at 6 months follow-up. Oxford University Press 2020-12-31 /pmc/articles/PMC7778506/ /pubmed/33425325 http://dx.doi.org/10.1093/jscr/rjaa555 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2020. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Huynh, Roy
Reece, Mifanwy
Mansouri, David
Nguyen, Thuy-My
Keshava, Anil
Laparoscopic colopexy for neo-left colonic volvulus 10 years after anterior resection
title Laparoscopic colopexy for neo-left colonic volvulus 10 years after anterior resection
title_full Laparoscopic colopexy for neo-left colonic volvulus 10 years after anterior resection
title_fullStr Laparoscopic colopexy for neo-left colonic volvulus 10 years after anterior resection
title_full_unstemmed Laparoscopic colopexy for neo-left colonic volvulus 10 years after anterior resection
title_short Laparoscopic colopexy for neo-left colonic volvulus 10 years after anterior resection
title_sort laparoscopic colopexy for neo-left colonic volvulus 10 years after anterior resection
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7778506/
https://www.ncbi.nlm.nih.gov/pubmed/33425325
http://dx.doi.org/10.1093/jscr/rjaa555
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