Single incision laparoscopic resection for diverticulitis.

Area of Science:

• Colorectal Surgery
• Minimally Invasive Surgery
• Surgical Innovation

Background:

• Laparoscopic sigmoidectomy is standard for recurrent diverticular disease.
• Single Incision Laparoscopic Surgery (SILS) offers reduced trauma and faster recovery.
• SILS in colorectal surgery is technically demanding, limiting its widespread adoption.

Purpose of the Study:

• To evaluate the effectiveness and feasibility of SILS sigmoidectomy for diverticular disease.
• To assess clinical outcomes including conversion rates, operative time, complications, and hospitalization.

Main Methods:

• A retrospective study of 488 patients undergoing sigmoidectomy for diverticular disease between 2009 and 2013.
• SILS sigmoidectomy via the umbilicus was performed in 484 patients.
• Clinical outcomes were systematically recorded.

Main Results:

• SILS sigmoidectomy was successfully completed in 484/488 patients (99.2%).
• Conversion to standard laparoscopy or open surgery was low (0.6% and 0.2%, respectively).
• No mortalities or major complications were observed, with an average hospitalization of 5 days.

Conclusions:

• SILS sigmoidectomy is an effective and feasible routine treatment for diverticular disease.
• The procedure is suitable for patients with complex conditions, including prior surgery, high BMI, or perforation.
• SILS sigmoidectomy presents a viable alternative to standard laparoscopy.