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Self-expanding plastic stents for the treatment of post-operative esophago-jejuno anastomosis leak and more

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Self-expanding plastic stents for the treatment of post-operative esophago-jejuno anastomosis leak. A case series study.
Fernández A, Vila JJ, Vázquez S, González-Portela C, de la Iglesia M, Lozano M, Toscano E.
Rev Esp Enferm Dig. 2010 Dec;102(12):704-710.
PMID: 21198312 [PubMed - as supplied by publisher]

Conclusion: We achieved a complete healing of the anastomotic fistula after radical gastrectomy in 3 out of 4 patients, without major complications related to Self-Expandable Plastic Stents. Placement of Self-Expandable Plastic Stents is an appealing minimally invasive alternative to surgical repair for patients with postoperative anastomotic leak.


Single-port laparoscopic total proctocolectomy with ileal pouch-anal anastomosis: initial operative experience.
Geisler DP, Kirat HT, Remzi FH.
Surg Endosc. 2011 Jan 1. [Epub ahead of print]
PMID: 21197548 [PubMed - as supplied by publisher]

CONCLUSION: Proctocolectomy With Ileal Pouch-Anal Anastomosis using Single-Port Laparoscopic Surgery is a safe technique. Additional studies are needed to compare Single-Port Laparoscopic Surgery to conventional laparoscopy and open surgery with respect to operative times, convalescence, and outcomes.


Minimal invasive single-site surgery in colorectal procedures: Current state of the art.
Diana M, Dhumane P, Cahill RA, Mortensen N, Leroy J, Marescaux J.
J Minim Access Surg. 2011 Jan;7(1):52-60.
PMID: 21197243 [PubMed - in process] Free PMC Article Free text

CONCLUSIONS: Minimally invasive single-site colorectal surgery is a challenging procedure that seems to be safe and feasible, but the existing clinical evidence is limited. In selected cases, and especially when an ileostomy is planned, colorectal surgery may be an ideal indication for minimally invasive single-site surgery leading to a no-scar surgery. Despite preliminary oncological results showing the feasibility of minimally invasive single-site surgery, we want to stress the need to standardize the technique and carefully evaluate its application in oncosurgery under ethical committee control.


Predicting the Risk of Anastomotic Leakage in Left-sided Colorectal Surgery Using a Colon Leakage Score.
Dekker JW, Liefers GJ, de Mol van Otterloo JC, Putter H, Tollenaar RA.
J Surg Res. 2010 Dec 1. [Epub ahead of print]
PMID: 21195424 [PubMed - as supplied by publisher]

CONCLUSIONS: The Colon Leakage Score can predict the risk of anastomotic leakage following left-sided colorectal surgery. After further validation, this score may help the surgeon make a more individualized, safer decision regarding whether to perform an anastomosis or make a (nonfunctional) stoma.

Updated January 11, 2011

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