Deloyers Procedure: A Viable Salvage Technique for Extensive Colorectal Resections

Sajad Ahmad Salati¹

Keywords: Deloyers procedure, extended left hemicolectomy, anastomosis, colonic derotation, colon transposition, colectomy

DOI: 10.63475/yjm.v5i1.0258

DOI URL: https://doi.org/10.63475/yjm.v5i1.0258

Publish Date: 25-03-2026

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Author Affiliation:

1 Professor, Department of Surgery, College of Medicine, Qassim University, Buraydah, Saudi Arabia

Abstract

The Deloyers procedure (DP) is a valuable but underutilized technique that may serve as an alternative to total colectomy, enabling restoration of bowel continuity after extensive left-sided colonic resections. The procedure is technically demanding, requiring mobilization of the right colon and counterclockwise rotation by 180° to achieve a tension-free colorectal or coloanal anastomosis. The Deloyers procedure maintains the bowel’s absorptive capacity and leads to superior functional results, such as improved stool consistency. This narrative review aims to popularize the Deloyers procedure among the surgical fraternity by examining its historical background, clinical indications, surgical technique, potential complications, and functional outcomes.

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