Abstract

Aim: The safety of prececal ileal anastomosis is not clear. Many surgeons prefer right hemicolectomy and ileotransverse anastomosis instead of prececal anastomosis with respect to the safety of the procedure. Therefore, we wish to share our experience in those cases which we could save the ileocecal valve in the lesions just next to (1 to 3 cm) to cecum.

Material and Method: In 2006, eight patients (6 males, 2 females) with age ranging from 2 days to 13 years, with various distal ileal pathologies (intestinal perforation in 2, intussusception in 2, volvulus in 2, necrotising enterocolitis and enteric duplication) underwent distal ileal resection. Although the existent lesions were very close to cecum, ileocecal valves were preserved and ileoileal anastomosis or primary repair were performed.

Results: Due to the primary diseases, patients’ hospital stay were very different from each other, however, patients did not encounter morbidity related to prececal anastomosis alone and all were discharged with recovery.

Conclusion: In many patients with distal ileal lesions, preserving the ileocecal valve displays vital importance; but, the safety of prevalvular anastomosis is not well-known. The result of this small series encourages us to perform prececal anastomosis for the purpose of ileocecal valve preserving.