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



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.


Laparoscopic 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.

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.


  1. 1.
    Kristensen S, Knutti J, Saraste A et al (2014) ESC/ESA guidelines on non cardiac surgery: cardiovascular assessment and management. Eur Heart J 35:2383–2431CrossRefGoogle Scholar
  2. 2.
    Kuehl M, Garbade J (2017) The evolution of left ventricular assist devices - a moment to reflect. J Thorac Dis 9:E492–E494CrossRefGoogle Scholar
  3. 3.
    Stehlik J, Nelson DM, Kfoury AG, Reid BB, Clayson SE, Nelson KE, Christensen BJ, Renlund DG, Movsesian MA, Cowley CG, Smith HK, Rasmusson BY, Long JW (2009) Outcome of noncardiac surgery in patients with ventricular assist devices. Am J Cardiol 103:709–712CrossRefGoogle Scholar
  4. 4.
    Nayak JG, White CW, Nates W, Sharda R, Horne D, Kaler K, Lytwyn M, Grocott HP, Freed DH, McGregor T (2013) Laparoscopic nephroureterectomy in a patient with a left ventricular assist device. Can Urol Assoc J 7:640–644CrossRefGoogle Scholar
  5. 5.
    Chinn R, Dembitsky W, Eaton L, Chillcott S, Stahovich M, Rasmusson B, Pagani F (2005) Multicenter experience: prevention and management of left ventricular assist device infection. ASAIO J 51:461–470CrossRefGoogle Scholar
  6. 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
  7. 7.
    Livi U, Guzzi G, Tursi V, Martinez B, Albanese MC, Corno C, Badano LP (2009) Laparoscopic approach for urgent abdominal surgery in patients with left ventricular assist devices. J Cardiovasc Med 10:741–744CrossRefGoogle Scholar
  8. 8.
    Stewart DB, Pae WE, Stephenson ER Jr (2011) Laparoscopic colectomy is feasible in patients with left ventricular assist devices. Int J Color Dis 26:1223–1224CrossRefGoogle Scholar
  9. 9.
    Sathishkumar S, Kodavatiganti R, Plummer S, High K (2012) Perioperative management of a patient with an axial-flow rotary ventricular assist device for laparoscopic ileo-colectomy. J Anaesthesiol Clin Pharmacol 28:101–105CrossRefGoogle Scholar
  10. 10.
    Ahmed M, Le H, Aranda JM Jr, Klodell CT (2012) Elective noncardiac surgery in patients with left ventricular assist devices. J Card Surg 27:639–642CrossRefGoogle Scholar
  11. 11.
    Smail H, Pfister C, Baste J-M, Nafeh-Bizet C, Gay A, Barbay V, Bessou JP, Peillon C, Litzler PY (2015) A difficult decision: what should we do when malignant tumours are diagnosed in patients supported by left ventricular assist devices? Eur J Cardiothorac Surg 48:e30–e36CrossRefGoogle Scholar
  12. 12.
    Ficke DJ, Lee J, Chaney MA, Bas H, Vidal-Melo MF, Stone ME (2010) Non-cardiac surgery in patients with a left ventricular assist device. J Cardiothorac Vasc Anesth 24:1002–1009CrossRefGoogle Scholar
  13. 13.
    Barbara DW, Wetzel DR, Pulido JN, Pershing BS, Park SJ, Stulak JM, Zietlow SP, Morris DS, Boilson BA, Mauermann WJ (2013) The perioperative management of patients with left ventricular assist devices undergoing noncardiac surgery. Mayo Clin Proc 88:674–682CrossRefGoogle Scholar
  14. 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. 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

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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