Laparoscopic colectomy of colonic intussusceptions in adults
김병섭, 강경호, 박형철, 이봉화,
소속 상세정보
김병섭 ( Kim Byung-Seup )
Chung-Ang University Hospital Department of Surgery
강경호 ( Kang Kyung-Ho )
Chung-Ang University Hospital Department of Surgery
박형철 ( Park Hyoung-Chul )
Hallym University College of Medicine Sacred Heart Hospital Department of Surgery
이봉화 ( Lee Bong-Hwa )
Hallym University College of Medicine Sacred Heart Hospital Department of Surgery
KMID : 0371320120830060397
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.
키워드
Adult; Intussusception; Colon; Laparoscopy
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