Simple Suture and Drainage as the Treatment of an Anastomotic Leak after a Laparoscopic Left Colectomy

Abstract

Colorectal anastomosis leak is a frequent complication in general surgery which is related to significant morbidity and mortality. Nowadays, several approaches are utilized, frequently invasive for the patient. Nevertheless, a golden standard strategy for anastomotic leak management has not been identified. We present a case of an anastomotic fistula after left laparoscopic colectomy for diverticular disease, managed by the suture of the anastomosis dehiscence and drainage. We choose this approach due to the reduced operative time, reduced morbidity and mostly to avoid the confection of a colostomy. Still, this surgical solution should be applied for well selected patients and further studies are necessary to validate this approach.