title: Laparoscopic Deloyers procedure for tension-free anastomosis after extended left colectomy: technique and results.
abstract: BACKGROUND
  The Deloyers procedure, which includes inversion of the right colon around the axis of the ileocolic vessels, can be used to achieve a well vascularized, tension-free colorectal anastomosis after extended left colectomy. The aim of this study is to report our technique and outcome in a series of ten consecutive patients who underwent right colonic transposition by laparoscopic approach.
  
  
  METHODS
  Charts were retrospectively reviewed to analyze postoperative outcome and bowel function. A video was recorded to demonstrate the procedure.
  
  
  RESULTS
  Conversion was required in one (10%) patient due to extensive adhesions. No intraoperative complications were recorded. Anastomotic leakage occurred in one (10%) case and was managed with peritoneal lavage and ileostomy. Six months after surgery, all patients reported a median number of 2.5 (range 2-3) bowel movements per day with solid stool consistency. Neither anastomotic stricture nor bowel ischemia was found at 1-year endoscopic follow-up.
  
  
  CONCLUSIONS
  Our experience shows that laparoscopic right colonic transposition is a safe and feasible procedure and provides good functional outcomes.
authors.affiliation: Department of General, Laparoscopic and Robotic Surgery, Azienda Ospedaliera Specialistica dei Colli - Monaldi Hospital, Via Leonardo Bianchi, 80131, Naples, NA, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Sciuto
authors.affiliation: Department of General, Laparoscopic and Robotic Surgery, Azienda Ospedaliera Specialistica dei Colli - Monaldi Hospital, Via Leonardo Bianchi, 80131, Naples, NA, Italy.
authors.forename: C
authors.initials: C
authors.lastname: Grifasi
authors.affiliation: Department of Abdominal Surgery, Casa Sollievo della Sofferenza Research Hospital, San Giovanni Rotondo, FG, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Pirozzi
authors.affiliation: Department of General, Laparoscopic and Robotic Surgery, Azienda Ospedaliera Specialistica dei Colli - Monaldi Hospital, Via Leonardo Bianchi, 80131, Naples, NA, Italy.
authors.forename: P
authors.initials: P
authors.lastname: Leon
authors.affiliation: School of Medicine and Surgery, University of Naples Federico II, Naples, Italy.
authors.forename: R E M
authors.initials: RE
authors.lastname: Pirozzi
authors.affiliation: Department of General, Laparoscopic and Robotic Surgery, Azienda Ospedaliera Specialistica dei Colli - Monaldi Hospital, Via Leonardo Bianchi, 80131, Naples, NA, Italy. francesco.corcione@ospedalideicolli.it.
authors.forename: F
authors.initials: F
authors.lastname: Corcione
mesh_terms: D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D003082:Colectomy / Q000379:methods*; D003106:Colon / Q000098:blood supply / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000098:blood supply / Q000601:surgery; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care / Q000379:methods*; D012007:Rectum / Q000098:blood supply / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome
keywords: Colorectal anastomosis; Deloyers procedure; Laparoscopic colorectal surgery; Left colectomy; Right colon transposition