Hypertensive Attack with Bleeding in the Anastomosis Line After Laparoscopic Colon Resection

Abstract

Laparoscopic colon surgery is a method that is less invasive than open surgery, which is increasingly being used. It includes many advantages such as less pain in the post-operative period, restoration of bowel activity in the early period, and earlier recovery of the patient. Complications can also occur in laparoscopic colon surgery. Case reports help the literature on this subject today, where large series have not yet been established. In our case, a hypertensive attack developed in the postoperative period and intraperitoneal and rectal bleeding developed due to this. We present our case who responded to medical treatment.

Keywords

• colon
• cancer
• laparoscopy
• colectomy
• rectum

Abstract

Laparoskopik kolon cerrahisi giderek kullanımı artan açık cerrahi operasyona göre daha az invaziv olan bir yöntemdir. Ameliyat sonu devrede ağrının daha az olması, erken dönemde barsak aktivitesinin yerine gelmesi, hastanın iyileşme sürecinin daha erken olması gibi birçok avantajı içermektedir. Laparoskopik kolon cerrahisinde de komplikasyonlar meydana gelebilmektedir. Henüz geniş serilerin oluşturulamadığı günümüzde olgu sunumları bu konuda literatüre yardımcı olmaktadır. Olgumuzda postoperatif dönemde hipertansif atak gelişmiş ve buna bağlı intraperitoneal ve rektal kanama gelişmiştir. Replasman tedavisi ile tedavi ettiğimiz olgumuz sunulmuştur.

References

1. Arnaldo M.R., Esteban M, Antonella DG, Idalina DBM, Pamela PSC. Prevalence of colon cancer and its surgical treatment in a high-complexity hospital from january 2017 to december 2018. Cir. Parag, 2019, 10-13.
2. Portale, G., Pedon, S., Benacchio, L. et al.. Two-dimensional (2-D) vs. three-dimensional (3-D) laparoscopic right hemicolectomy with intracorporeal anastomosis for colon cancer: comparison of short-term results. Surgical Endoscopy, 2020, 1-8.
3. Hutchens, T. C., Giglio, N. C., Cilip et al. Novel Optical Linear Beam Shaping Designs for use in Laparoscopic Laser Sealing of Vascular Tissues. In: 2020 42nd Annual International Conference of the IEEE Engineering in Medicine & Biology Society (EMBC). IEEE, 2020. p. 5049-5052.
4. Sujatha-Bhaskar, S., Alizadeh, R. F., Inaba, C. S., et al. Respiratory complications after colonic procedures in chronic obstructive pulmonary disease: does laparoscopy offer a benefit?. Surgical endoscopy, 2018, 32.3: 1280-1285.
5. Mungo, B., Papageorge, C. M., Stem, M.et al. The Impact of operative approach on postoperative complications following colectomy for colon caner. World journal of surgery, 2017, 41.8: 2143-2152.
6. Kothari, P., Congiusta, D. V.,Merchant, A. M. . Laparoscopic versus open colectomy: the impact of frailty on outcomes. Updates in surgery, 2019, 71.1: 89-96.
7. Sessler, D. I., Bloomstone, J. A., Aronson, S. et al. Perioperative Quality Initiative consensus statement on postoperative blood pressure, risk and outcomes for elective surgery. British journal of anaesthesia, 2019, 122.5: 575-586.