Endoscopic heliX tacking system for the Management of colonic Anastomotic dehiscence (X-MAN) after a laparoscopic left colectomy

Abstract Text We present the case of a 69-year-old patient who underwent laparoscopic left colectomy with an end-to-end colorectal anastomosis. Within 2 months, he developed an anastomotic dehiscence (AD), connected to a cavity measuring 20 mm in diameter. Initially treated by endoluminal vacuum therapy, the orifice size was reduced from 20 to 10 mm within 2 weeks. However, complete closure was ultimately achieved by the use of an endoscopic helix tacking system. Closure was accomplished by placing 4 tacks around the defect in a 'Z' pattern, pulling the thread attached to the tacks, and securing the suture with a cinch device. 6-week follow-up confirmed successful closure, demonstrating the safe and effective management of an AD using X-MAN [1] [2] [3].

Video  http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/9c5bdde6-dddb-45bb-b34d-754c0e45f8c6/Uploads/16849_X_MAN%2016%20NOV24_11H46.mp4

Publikationsverlauf

Artikel online veröffentlicht:
27. März 2025

• References

• 1 Daams F. et al. Treatment of colorectal anastomotic leakage: results of a questionnaire amongst members of the Dutch Society of Gastrointestinal Surgery. Dig Surg 2012; 29: 516-21
• 2 Cwaliński J. et al. Dehiscence of colorectal anastomosis treated with non invasive procedures. Wideochir Inne Tech Maloinwazyjne 2023; 18 (1): 128-134
• 3 Mohapatra S. et al. Follow-up outcomes of mucosal defect closures after endoscopic resection using a helix tacking system and endoclips. VideoGIE 2022; 11 7(7): 268-272