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. 2019 Nov;34(11):1979-1982.
doi: 10.1007/s00384-019-03384-1. Epub 2019 Sep 13.

Feasibility and safety of laparoscopic colorectal surgeries for patients with left ventricular assist device

Fawaz Abo-Alhassan  1 , Bertrand Trilling  1   2 , Pierre-Yves Sage  1 , Edouard Girard  1   2 , Jean-Luc Faucheron  3   4
Affiliations

Feasibility and safety of laparoscopic colorectal surgeries for patients with left ventricular assist device

Fawaz Abo-Alhassan et al. Int J Colorectal Dis. 2019 Nov.

Abstract

Purpose: There is limited literature regarding the feasibility and safety of laparoscopic procedures in patients having mechanical circulatory support, especially colonic resections.

Methods: The aim of this study is to present the case of a laparoscopic colectomy for cancer undergone in a 69-year-old patient having a HeartWare II at our institution without any postoperative major complications and to describe the perioperative management and outcome of these patients according to the literature, regarding the hemodynamic, hemorrhagic, and infectious risks and the safety of this procedure.

Results: There was no 90-day postoperative morbidity or death. A total of six patients including ours were identified in the study. This study has a limited number of patients and relatively short follow-up time.

Conclusion: Even though the management of patients having a LVAD is challenging and needs a multidisciplinary approach, reported literatures have shown the safety and feasibility of laparoscopic interventions for colorectal surgeries.

Keywords: Laparoscopic colectomy; Mechanical circulatory support; Morbidity.

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