Iatrogenic Ischemic Colitis after Laparoscopic Anterior Resection Managed by Laparoscopic Retroileal Transmesenteric Colorectal Anastomosis

腹腔鏡前位切除併發大腸壞死並以腹腔鏡Retroileal Transmesenteric Colorectal Anastomosis處理

陳奕彰(Yi-Chang Chen) ； 蔡元耀(Yuan-Yao Tsai) ； 張伸吉(Sheng-Ji Chang) ； 柯道維(Tao-Wei Ke) ； 陳宏彰(Hung-Chang Chen) ； 王輝明(Huei-Ming Wang) ； 陳自諒(William Tzu-Liang Chen)

《中華民國大腸直腸外科醫學會雜誌》 30卷2期 (2019/06) Pp. 84-88

https://doi.org/10.6312/SCRSTW.201906_30(2).10803

摘要

Ischemic colitis is an unusual complication following colorectal surgeries and most of cases are due to artery compromise. Venous congestion causing ischemic colitis following anterior resection is rare and has not been reported as to our knowledge. This is the first reported case of acute venous congestion following laparoscopic anterior resection and managed by laparoscopic retroileal transmesenteric colorectal anastomosis.

關鍵字

Ischemic colitis ； Venous congestion ； Anterior resection ； Laparoscopy

並列摘要

缺血性大腸炎於大腸癌術後是罕見的併發症且大部分是因為動脈引起。靜脈充血所引起的缺血性大腸炎於大腸直腸癌術後文獻並未被報導過。我們在此分享腹腔鏡前位切除後引起的靜脈充血導致缺血性大腸炎，並以腹腔鏡retroileal transmesenteric colorectal anastomosis處理此併發症。

並列關鍵字

缺血性大腸炎 ； 靜脈充血 ； 前位切除 ； 腹腔鏡

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