Colectomy for sigmoid volvulus

被引:14
作者
Chung, RS [1 ]
机构
[1] HILLCREST HOSP,CLEVELAND,OH
关键词
sigmoid colectomy; sigmoid volvulus; minimally invasive technique; laparoscopic sigmoid colectomy; colonic anastomosis; laparoscopic assisted colectomy; colonoscopic decompression; loop ileostomy; surgical technique;
D O I
10.1007/BF02050429
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
PURPOSE: Volvulus of the sigmoid carries a high mortality. This minimally invasive technique is designed for poor-risk patients. TECHNIQUE: Aided by laparoscopy, the mobile sigmoid is exteriorized through a mini-incision without preliminary dissection. The entire resection and anastomosis is performed on the surface of the abdomen. The options of end colostomy, primary anastomosis with or without fecal diversion, can all be used with this method. RESULTS: No mortality or leakage occurred in four patients. CONCLUSION: This rapid operation does not require advanced laparoscopic skills. Preliminary results should be confirmed by others.
引用
收藏
页码:363 / 365
页数:3
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