Complications - Hemicolectomy left, open, curative

  1. Intraoperative complications

    • Splenic injury:
      Compression and coagulation, application of hemostyptic patch; if unsuccessful - splenectomy.
    • Ureteral injury:
      Consult a urologist, if available. Otherwise perform direct suture of the ureter over an intraluminal ureteral double-J stent. If the lesion is closer to the bladder, perform ureteral reimplantation with the bladder. This typically is performed inferior to the intersection with the common iliac artery.
    • Pancreatic injury:
      Hemostasis, suture of the pancreatic capsule; in case of complete division of the pancreas perform left pancreatic resection and carefully drain the field.
Postoperative complications

Anastomotic failure:Usually anastomotic failure will require revision surgery. Management may requi

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