Robotic low anterior resection with complete splenic flexure mobilization and defunctioning left-sided loop colostomy: a case series.
- Resource Type
- Case Study
- Authors
- Rutegård, Martin; Gerdin, Anders; Forssell, Jannice; Sjöström, Olle; Söderström, Andreas; Vinnars, Petrus
- Source
- Journal of Surgical Case Reports. Jan2024, Vol. 2024 Issue 1, p1-4. 4p.
- Subject
- *COLOSTOMY
*SURGICAL complications
*CONVENIENCE sampling (Statistics)
*RECTAL cancer
*SURGICAL stomas
*SURGICAL anastomosis
*ONCOLOGIC surgery
- Language
- ISSN
- 2042-8812
A defunctioning stoma is used to alleviate the consequences of anastomotic leakage after low anterior resection for rectal cancer. A loop ileostomy is often preferred but may lead to dehydration and kidney injury. Here, we present a case series for an alternative: the left-sided loop colostomy. A convenience sample of four patients underwent robotic low anterior resection for rectal cancer. A complete splenic flexure mobilization and a total mesorectal excision were performed. To defunction the anastomosis, the redundant left colon was brought up to a stoma site in the left iliac fossa and matured as a loop colostomy. Two patients experienced minor stoma leaks and one also had a small prolapse, while all patients had their colostomies reversed on average 7 months after surgery without complications. There were no dehydration episodes and creatinine levels remained within baseline levels at end of follow-up (on average 18 months). [ABSTRACT FROM AUTHOR]