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Left-sided colectomy with retroileal colorectal anastomosis
Archives of Surgery (Chicago, Ill. : 1960)
|August 1, 1978
Summary
The retroileal approach creates a window in the ileal mesentery, allowing surgeons to pull the transverse colon into the pelvis for colorectal anastomosis when the colon is too short. This technique aids in left-sided colectomies.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Colorectal Surgery
Background:
- Resection of the sigmoid and descending colon for cancer or diverticular disease can result in insufficient transverse colon length for anastomosis.
- A tension-free colorectal anastomosis is crucial for successful surgical outcomes.
Purpose of the Study:
- To evaluate the utility of the retroileal approach as a technical aid in left-sided colectomies.
- To determine the feasibility of creating a colorectal anastomosis when transverse colon length is inadequate.
Main Methods:
- A retrospective review of 302 descending colon resections with colorectal anastomoses performed between January 1966 and January 1975.
- Identification of patients who underwent a retroileal colorectal anastomosis.
Main Results:
- Eleven patients (4%) required a retroileal colorectal anastomosis.
- The retroileal approach was utilized in cases of extensive left-sided colectomy or insufficient transverse colon length.
Conclusions:
- The retroileal approach is a valuable surgical technique.
- This method facilitates tension-free colorectal anastomoses when residual transverse colon length is compromised after extensive left-sided colectomies.