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Laparoscopic left colectomy: from the perfect knowledge of surgical anatomy to the proper surgical technique

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Summary: Laparoscopic left colectomy: from the perfect knowledge of surgical anatomy to the proper surgical technique.
R. Vecchio, V. Gelardi, G. Alongi, E. Swehli, S. Vicari, S. Marchese, E. Intagliata

Laparoscopic colo-rectal surgery has been increasingly accepted and performed in several surgical centres.
However, there are still concerns about the intra-operative risks and therefore on the safety of the procedure especially during the learning curve. As a matter of fact, in approximately one third of laparoscopic colo-rectal procedures, an intra-operative complication, mainly bleeding or iatrogenic injuries, may occur.
In this paper, according to our experience, we analyse step by step the surgical technique of the laparoscopic left colectomy and evaluate the technical difficulties and complications in order to avoid them.

Versione italiana
Riassunto: Colectomia sinistra laparoscopica: dalla perfetta conoscenza dell’anatomia alla pura tecnica chirurgica.

R. Vecchio, V. Gelardi, G. Alongi, E. Swehli, S. Vicari, S. Marchese, E. Intagliata
La chirurgia laparoscopica del colon-retto si è di recente largamente diffusa in numerosi centri chirurgici.
Tuttavia, specie nella fase di apprendimento della procedura, rischi e complicanze intraoperatori rappresentano un problema non infrequente e molto dibattuto. Infatti, in circa un terzo delle procedure laparoscopiche del colon-retto si può verificare una complicanza intraoperatoria, consistente principalmente in emorragie o lesioni iatrogene.
In questo lavoro viene analizzata la nostra esperienza e vengono riferite le fasi della tecnica chirurgica, al fine di evidenziare le difficoltà tecniche dell’intervento nell’ottica di ridurre le complicanze ad esse correlate.

Vol XL (No. 4) 2019 July-August

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