Laparoscopic assisted sigmoid resection for diverticular disease.

Area of Science:

• Colorectal Surgery
• Minimally Invasive Surgery
• Surgical Techniques

Background:

• Laparoscopic assisted sigmoid resection (LASR) is a common colorectal procedure.
• Recent years have seen the development of numerous surgical variations.
• A need exists to demonstrate a standardized, feasible technique.

Purpose of the Study:

• To demonstrate a feasible technique for laparoscopic assisted sigmoid resection (LASR).
• To provide a video guide for surgeons performing LASR.

Main Methods:

• LASR performed using four ports with specific entry points.
• Medial to lateral approach to mesocolon and inferior mesenteric artery (IMA) preservation.
• Extracorporeal dissection of mesosigmoid and descending colon with laparoscopic double stapling anastomosis.

Main Results:

• The video details a specific four-port LASR technique.
• Emphasis on preserving autonomic plexus, gonadal vessels, and left ureter.
• Demonstrates laparoscopic "double stapling" technique for anastomosis.

Conclusions:

• Laparoscopic assisted sigmoid resection is technically feasible for diverticular disease.
• The described technique is effective, impacting perioperative morbidity.
• Functional outcomes are positively influenced by this laparoscopic approach.