Feasibility and safety of laparoscopic colorectal surgeries for patients with left ventricular assist device
- 1 Downloads
There is limited literature regarding the feasibility and safety of laparoscopic procedures in patients having mechanical circulatory support, especially colonic resections.
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.
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.
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.
KeywordsLaparoscopic colectomy Mechanical circulatory support Morbidity
Compliance with ethical standards
Conflict of interest
Jean-Luc Faucheron has a consulting agreement with AMI, Covidien, Medtronic, Ethicon, MSD, Legrand, and Johnson & Johnson Beauté Santé France. This has had no impact with the results of this study. Fawaz Abo Alhassan, Bertrand Trilling, Pierre-Yves Sage, and Edouard Girard have no conflicts of interest or financial ties to disclose.
The study has been performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments.
For this type of study, formal consent is not required, except for the patient from our department who gave her formal written consent for publication.
- 6.Slaughter MS, Rogers JG, Milano CA, Russell SD, Conte JV, Feldman D, Sun B, Tatooles AJ, Delgado RM III, Long JW, Wozniak TC, Ghumman W, Farrar DJ, Frazier OH (2009) Advanced heart failure treated with continuous-flow left ventricular assist device. New Engl J Med 361:2241–2251CrossRefGoogle Scholar
- 14.Slaughter MS, Naka Y, John R, Boyle A, Conte JV, Russell SD, Aaronson KD, Sundareswaran KS, Farrar DJ, Pagani FD (2010) Post-operative heparin may not be required for transitioning patients with a HeartMate II left ventricular assist system to long-term warfarin therapy. J Heart Lung Transplant 29:616–624CrossRefGoogle Scholar
- 15.Hessel E (2013) Management of patients with implanted assist devices for noncardiac surgery: a clinical review. Sem Cardiothorac Vasc Anesth 20:1–14Google Scholar