Laparoscopic intestinal derotation: original technique.
The intestinal derotation technique, introduced by Cattel and Valdoni 40 years ago, is carried out using a laparoscopic procedure, which is described here for the first time. The method is effective in the treatment of malign lesions of the III and IV duodenum and during laparoscopic subtotal colectomy with anastomosis between the ascending colon and the rectum. Ultimately, the procedure allows for the verticalization of the duodenal C and the anterior positioning of the mesenteric vessels, facilitating biopsy and resection of the III and IV duodenal portions and allowing anastomosis of the ascending rectum, avoiding both subtotal colectomy and the risk of torsion of the right colic loop. Although the procedure calls for extensive experience with advanced video-laparoscopic surgery, it is both feasible and repeatable. In our experience we have observed no mortality or morbidity.
Valle
Mario
M
National Cancer Institute Rome Regina Elena, Italy. mario_valle@fastwebnet.it
Federici
Orietta
O
Tarantino
Enrico
E
Corona
Francesco
F
Garofalo
Alfredo
A
D003082:Colectomy / Q000379:methods*; D003110:Colonic Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D004379:Duodenal Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D009367:Neoplasm Staging; D012189:Retrospective Studies; D016896:Treatment Outcome