Colonic volvulus after laparoscopic left colectomy

被引:1
作者
Moritz, C. [1 ]
Scheiwe, C. [1 ]
Malgras, B. [1 ,2 ]
机构
[1] Begin Army Training Hosp, Dept Digest & Endocrine Surg, 69 Ave Paris, St Mande, France
[2] Ecole Val de Grace, 1 Pl Alphonse Laveran, F-75230 Paris 05, France
关键词
Volvulus; Colon; Colectomy; Laparoscopy;
D O I
10.1016/j.jviscsurg.2020.04.012
中图分类号
R61 [外科手术学];
学科分类号
摘要
Volvulus of the mobilized colon after laparoscopic left colectomy is rare. Contributing factors seem to be excessive length of the mobilized colon, absence of peritonization and absence of adhesions due to laparoscopy. Onset of colonic volvulus after laparoscopic left colectomy should lead to routine computerized tomography (CT), searching for an image suggestive of small intestinal incarceration under the neo-mesocolon, which might be an additional risk factor. Treatment consists of disincarceration of the small intestines while closing the mesocolic defect remains a subject of controversy. (c) 2020 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:493 / 494
页数:2
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