A feared complication during laparoscopic left colectomy: the torsion of the colonic stump at stapling.

摘要

Hereby, we report two cases of "twist" of the colonic stump recognized intraoperatively after having performed a colorectal anastomosis following a laparoscopic left colec-tomy. This procedure, which is nowadays rapidly spreading outside reference centers, involves specific maneuvers aimed at limiting the invasiveness of surgery, which may also be responsible for particular peri- and postoperative complications. In our tertiary care center, with a specific interest in laparoscopic colorectal surgery, two senior surgeons (more than 100 laparoscopic left colectomies performed) experienced such a complication at a 7-year-interval. Although two cases represent less than 0.5% of all the left laparoscopic colectomies performed, we believe that such an inconvenient may be more common than generally thought, and that our way to manage it (and the tricks we adopted to avoid it thereafter) may be of some interest to International Journal of Colorectal Disease readers.