JOURNAL OF JAPAN SOCIETY FOR ENDOSCOPIC SURGERY Volume 24, Issue 1 (January 2019)
Japanese

Ischemic necrosis of anastomotic intestine at anal side after laparoscopic-assisted sigmoid colectomy : A case report Satoru TSURUTA 1 , Takuya MIURA 1 , Yoshiyuki SAKAMOTO 1 , Hajime MOROHASHI 1 , Akiko SUTO 1 , Kenichi HAKAMADA 1 1Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine Keyword: 縫合不全 , 腸管血流障害 , Sudeck点 pp.30-36
Published Date 2019/1/15
DOI https://doi.org/10.11477/mf.4426200662
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 A 70-year-old man on maintenance hemodialysis underwent laparoscopic-assisted sigmoid colectomy with D2 dissection for sigmoid colon cancer. On postoperative day 1, tachycardia, shivering and abdominal pain occurred during dialysis. Because postoperative anastomotic failure was suspected, operation was performed. Intraoperative findings revealed occlusion of the inferior mesenteric artery and ischemic necrosis of the anastomotic intestine at the anal side. Hartmann's operation was performed. For patient with atherosclerotic changes whose surgical lesion is near the sigmoid-descending colon junction, even though careful surgical plan including the possibility of a defect in marginal artery in rectosigmoid lesion is made, the possibility of blood flow failure in anastomotic intestine should also be noted.


Copyright © 2019, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

基本情報

13446703.24.1.jpg
日本内視鏡外科学会雑誌
24巻1号 (2019年1月)
電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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