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Laparoscopic Repair for Enterocutaneous Fistula Caused by Laparoscopic Right Hemicolectomy for Pan-Peritonitis due to Cecal Cancer Perforation

Journal of Minimally Invasive Surgery 2020년 23권 3호 p.144 ~ 148
이민홍, 김민규,
소속 상세정보
이민홍 ( Lee Min-Hong ) - Hanyang University Guri Hospital Department of Surgery
김민규 ( Kim Min-Gyu ) - Hanyang University Guri Hospital Department of Surgery

Abstract


Enterocutaneous fistula (ECF) can occur after any intra-abdominal procedure and is a concern for most surgeons. We report a case of laparoscopic treatment of an ECF in a 65-year-old male patient who had undergone a laparoscopic right hemicolectomy for peritonitis due to perforated colon cancer four months previously. Two weeks after discharge from the hospital, he visited the outpatient clinic complaining of a malodorous abscess draining from the right trocar site. Although we allowed two months for the fistula to close naturally, it did not close and formed an abscess. The patient subsequently underwent a laparoscopic colectomy of the fistula between the colonic stump and the skin. The operation time was 110 minutes, and he was discharged 10 days after surgery without any postoperative complication.

키워드

Enterocutaneous fistula; Laparoscopy; Colectomy; Colon cancer; Bowel perforation

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