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Restoring Intestinal Continuity in a Hostile Abdomen: The Deloyers Procedure.

Authors:
Joseph Dux Ephraim Katz Mohammad Adileh Lior Segev David Hazzan

JSLS 2021 Apr-Jun;25(2)

Department of General and Oncological Surgery-Surgery C, Sheba Medical Center, Tel Hashomer, Israel.

Background: Deloyers procedure enables anastomosis of the ascending colon to the rectum following extended resections that prevent usual fashion anastomosis. During the procedure, the right colon is completely mobilized and counterclockwise rotated to allow tension free and well-vascularized anastomosis while preserving the ileocecal valve. The purpose of this manuscript is to report our experience with laparoscopic Deloyers procedure in a hostile abdomen due to adhesions from previous surgeries.

Methods: We report the outcomes and our technique of laparoscopic Deloyers procedure in three patients. All patients had a surgical complication necessitating the creation of end colostomy with a short colonic remnant. The bowel status prevented restoration of continuity by the common colorectal anastomosis and laparoscopic Deloyers was elected.

Results: The procedure was successful in all patients, with no intra-operative complication and average surgery duration of three hours. Patients had uneventful postoperative recovery with only one case of minor complication and an adequate functional outcome.

Conclusion: Laparoscopic Deloyers is safe and allows the restoration of bowel continuity with preservation of ileocecal valve and good functional outcome even in hostile abdomen.

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Source
http://dx.doi.org/10.4293/JSLS.2021.00004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8241288PMC
July 2021

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Department of General and Oncological Surgery-Surgery C, Sheba Medical Center, Tel Hashomer, Israel.

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