J Korean Surg Soc.
2012 Dec;83(6):397-402. 10.4174/jkss.2012.83.6.397.
Laparoscopic colectomy of colonic intussusceptions in adults
- Affiliations
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- 1Department of Surgery, Chung-Ang University Hospital, Seoul, Korea.
- 2Department of Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea. kgiseup@hallym.or.kr
- KMID: 1437542
- DOI: http://doi.org/10.4174/jkss.2012.83.6.397
Abstract
- Adult intussusception is a rare entity. Most adult intussusceptions require surgical intervention because they have a high rate of pathologic leading point. Mandatory laparotomy and en bloc resection is recommended in colonic intussusceptions due to the possibility of malignancy. We report herein 3 cases of adult colonic intussusceptions. The intussusceptions were located in the sigmoid and rectum, which were managed by laparoscopic colectomy. Case 1 was managed by laparoscopic anterior resection and diverting ileostomy combined with perineal reduction. Perineal approach facilitated laparoscopic reduction. In case 2, intraoperative colonoscopy was performed to determine the distal resection margin. Intraoperative colonoscopy showed edematous bowel mucosa as well as leading point after reduction of intussusceptions. Case 3 showed asymptomatic transient rectorectal colonic intussusceptions.
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