Superior mesenteric and portal vein thrombosis following laparoscopic-assisted right hemicolectomy. Report of a case.
OBJECTIVE
This article describes a case of superior mesenteric and portal vein thrombosis following laparoscopic-assisted right hemicolectomy.


METHODS
A retrospective case review was performed.


RESULTS
Data continue to grow regarding safety and technical feasibility of laparoscopic-assisted colectomy. As this minimally invasive alternative to open colonic resection becomes more popular, it is inevitable that information on benefits and complications associated with it will continue to expand. We report a case of superior mesenteric and portal vein thrombosis following laparoscopic-assisted colon resection. To our knowledge, this represents a complication of laparoscopic colon resection not previously reported in literature.


CONCLUSIONS
Careful patient selection for this procedure is important. Additionally, the incision for extracorporeal resection and anastomosis in laparoscopic-assisted colectomy must be planned appropriately and carefully monitored intraoperatively to avoid potential complication of vascular trauma leading to mesenteric vein thrombosis.
Millikan
K W
KW
Department of General Surgery, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois 60612-3833, USA.
Szczerba
S M
SM
Dominguez
J M
JM
McKenna
R
R
Rorig
J C
JC
D003082:Colectomy / Q000009:adverse effects*; D006801:Humans; D007417:Intestinal Polyps / Q000601:surgery; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D008641:Mesenteric Vascular Occlusion / Q000000981:diagnostic imaging / Q000209:etiology*; D008642:Mesenteric Veins; D008875:Middle Aged; D011169:Portal Vein; D011859:Radiography; D012004:Rectal Neoplasms / Q000601:surgery; D012189:Retrospective Studies; D012811:Sigmoid Neoplasms / Q000601:surgery; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*