Colonic Ischemia after Laparoscopic Low Anterior Resection Due to Pneumoperitoneum: Case Report and Review of the Literature

Mehmet Saydam, Ibrahim Yilmaz and Zafer Ergul

Department of General Surgery, Diskapi Yildirim Beyazit Training and Research Hospital, Turkey

^*Correspondance to: Ibrahim Yilmaz 

 PDF  Full Text DOI: 10.25107/2474-1647.2403

Abstract

Inflation of CO2 during laparoscopic colorectal surgeries increases intra-abdominal pressure and pneumoperitoneum obviously effects intra-abdominal arteriovenous stream causing complications. Increased Intra Abdominal Pressure (IAP) causes decreased venous stream back and arteriol flow leading ischemic process on colon and anastomosis line. Ischemic segment could end with anastomosis leakage or colonic cast. We presented a case whom we performed laparoscopic low anterior resection due to rectum malignancy and improved colonic ischemia postoperatively due to pneumoperitoneum.

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Cite the article

Saydam M, Yilmaz I, Ergul Z. Colonic Ischemia after Laparoscopic Low Anterior Resection Due to Pneumoperitoneum: Case Report and Review of the Literature. Clin Surg. 2019; 4: 2403.