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Laparoscopic 3D high-definition Deloyers procedure: when, how, why?

Angelo Danilo Antona¹, Stefano Reggio¹, Felice Pirozzi²

¹Department of Laparoscopic and Robotic Surgery, "Azienda Ospedaliera dei Colli", Monaldi Hospital, Via Leonardo Bianchi, 80131, Naples, NA, Italy.

Updates in Surgery

|April 11, 2016

Summary

The Deloyers procedure offers an alternative to ileorectal anastomosis after left colectomy when colorectal anastomosis is not feasible. This minimally invasive technique is detailed for complex cases, including post-ischemia scenarios.

Keywords:

Colorectal anastomosis Deloyers procedure Laparoscopic colorectal surgery Left colectomy Right colon transposition

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Area of Science:

Colorectal surgery
Minimally invasive surgical techniques
Gastrointestinal surgery

Background:

Colorectal anastomosis can be challenging after extensive left colon resection due to anatomical limitations.
Traditional alternatives like total colectomy with ileorectal anastomosis may not always be optimal.
The Deloyers procedure presents a viable option for reconstructing the digestive tract in such scenarios.

Observation:

This manuscript details the indications and methodology for performing the Deloyers procedure.
A case report illustrates the application of the Deloyers procedure in a patient with early descending colon ischemia post-left colectomy.
The focus is on a mini-invasive approach to this surgical technique.

Findings:

The Deloyers procedure facilitates colorectal anastomosis when direct connection is impossible after left colectomy.
Minimally invasive execution of the Deloyers procedure is feasible and described.
Successful application in a complex case involving post-colectomy ischemia is demonstrated.

Implications:

The Deloyers procedure provides a valuable alternative to extensive colectomy, potentially preserving more bowel.
Minimally invasive approaches enhance patient recovery and reduce surgical morbidity.
This technique expands surgical options for complex colorectal reconstructions, improving patient outcomes.