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

  • Fawaz Abo-Alhassan
  • Bertrand Trilling
  • Pierre-Yves Sage
  • Edouard Girard
  • Jean-Luc FaucheronEmail author
Case Report
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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 

Notes

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.

Ethical approval

The study has been performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments.

Informed consent

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.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Colorectal SurgeryGrenoble Alps University HospitalGrenobleFrance
  2. 2.University Grenoble Alpes, CNRS, Grenoble INP, TIMC-IMAGGrenobleFrance

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