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Open Access 01-12-2022 | Laparoscopy | Research

Laparoscopic redo anastomosis for management of intraperitoneal anastomotic leakage after colonic surgery

Authors: Yi-Chang Chen, Tao-Wei Ke, Yuan-Yao Tsai, Abe Fingerhut, William Tzu-Liang Chen

Published in: BMC Surgery | Issue 1/2022

Abstract

Background

There is still no consensus on the management of intraperitoneal anastomotic leakage after colonic surgery. Among of various treatment strategies, laparoscopic redo anastomosis for intraperitoneal leakage has rarely been reported in the literature and is condemned by some. The aim of this study is to demonstrate the feasibility and safety of laparoscopic redo anastomosis for intraperitoneal anastomotic leakage.

Methods

Retrospective chart review of laparoscopic redo anastomosis for intraperitoneal anastomotic leakage after colonic surgery from January 2013 to May 2020. An accompanying video demonstrates the technique.

Results

Fifteen consecutive patients underwent laparoscopic redo anastomosis for management of leakage after colonic surgery; two patients required conversion to open repair. A protective stoma was created in three patients during the second operation. There was no re-leakage nor mortality in this series.

Conclusions

Laparoscopic redo anastomosis was feasible and safe for the management of intraperitoneal anastomotic leakage after colonic surgery. Considering the advantages of re-do laparoscopy, this procedure should be part of every surgeon’s armamentarium to deal with anastomotic leakage and represents a logical alternative to the “Diversion and Drainage” technique.

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Title: Laparoscopic redo anastomosis for management of intraperitoneal anastomotic leakage after colonic surgery
Authors: Yi-Chang Chen
Tao-Wei Ke
Yuan-Yao Tsai
Abe Fingerhut
William Tzu-Liang Chen
Publication date: 01-12-2022
Publisher: BioMed Central
Keywords: Laparoscopy
Enterostomy
Enterostomy
Hemicolectomy
Hemicolectomy
Published in: BMC Surgery / Issue 1/2022
Electronic ISSN: 1471-2482
DOI: https://doi.org/10.1186/s12893-022-01555-6

2024 ASCO Annual Meeting

Springer Medicine

Laparoscopic redo anastomosis for management of intraperitoneal anastomotic leakage after colonic surgery

Abstract

Background

Methods

Results

Conclusions

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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