A Case Report of Laparoscopic Right Hemicolectomy with Intracorporeal Anastomosis for Crohn's Diesase

Hiromi Tokumura, Takashi Yamamoto, Takafumi Sato, Yoichi Imaoka, Akio Ouchi, Kyoji Yamamoto, Takashi Matsushiro

Department of Surgery, Tohoku Rosai Hospital

Laparoscopic colectomy has been associated with earlier recovery and increased patient comfort like other kinds of laparoscopic surgery. We successfully performed a laparoscopic right hemicolectomy in an l8-year-old patient with remakable stenosis of the ascending colon due to Crohn's disease. After intraabdominal insufflation and introduction of 5 access ports, the terminal ileum and right sided colon were completely mobilized. The right side colon was comletely resected intracorporeally, and then a so-called functional end-to-end anastomosis was made by Endocutter. Postoperatively, bowel function and walking ability promptly returned to normal, and no complications were noted. This experience with laparoscopic right hemicolectomy leads us to believe that it will have a useful role in the surgical management of Crohn's disease. However, intracorporeal anastomosis may deserve further study.

Key words
laparoscopic right hemicoloetomy, intracorporeal anastomosis, Crohn's disease

Reprint requests
Hiromi Tokumura Department of Surgery, Tohoku Rosai Hospital
4-3-21 Dainohara, Aobu-ku, Sendai, 981 JAPAN

Accepted
May 17, 1955

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