Home > Riviste > Minerva Surgery > Fascicoli precedenti > Articles online first > Minerva Surgery 2021 Apr 14

ULTIMO FASCICOLO
 

JOURNAL TOOLS

eTOC
Per abbonarsi
Sottometti un articolo
Segnala alla tua biblioteca
 

ARTICLE TOOLS

Publication history
Estratti
Permessi
Per citare questo articolo
Share

 

 

Minerva Surgery 2021 Apr 14

DOI: 10.23736/S2724-5691.21.08771-2

Copyright © 2021 EDIZIONI MINERVA MEDICA

lingua: Inglese

Management of intraoperative complications during laparoscopic right colectomy

Ludovica BALDARI , Luigi BONI, Massimiliano DELLA PORTA, Cristina BERTANI, Elisa CASSINOTTI

Department of Surgery, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, University of Milan, Milan, Italy


PDF


BACKGROUND: Minimally invasive right colectomy is increasingly performed as standard treatment for diseases of right colon. Complete mesocolic excision has been introduced for cancer treatment to improve oncological results. Both standard and complete mesocolic excision techniques are associated with intraoperative complications. The purpose of this study was to analyse incidence and management of intraoperative complications in patients who underwent laparoscopic right colectomy with complete mesocolic excision in a single institution.
METHODS: This is a retrospective study conducted in a single Italian centre from April 2017 to October 2020. Data of non-metastatic cancer patients who underwent laparoscopic right colectomy were collected to analyse onset of intraoperative complications, their management and rate of conversion to open surgery.
RESULTS: A total of 92 patients were included in this study. The 1.09% of patients were converted to open surgery due to adhesions and bowel occlusion. The 5.43% of patients had intraoperative complications: bleeding from Henle’s trunk, pre-pancreatic plane and ileocolic artery stump account for 3.26%, gonadal vessel injury for 1.09% and bowel lesion for 1.09%.
CONCLUSIONS: Despite the limits of this study, it shows that bleeding is one of the most frequent complications in laparoscopic right colectomy. Bleeding, occlusion and adhesions are most common reasons for conversion to open surgery.


KEY WORDS: Complete mesocolic excision; Intraoperative complications; Bleeding; Hollow viscus injuries; Anastomosis

inizio pagina