Related Experiment Videos
Elective laparoscopic-assisted sigmoid resection for diverticular disease
Q A Eijsbouts1, M A Cuesta, L M de Brauw
1Department of Surgery, Academic Hospital, De Boelelaan 1117, Vrije Universiteit, Amsterdam, The Netherlands.
Surgical Endoscopy
|July 1, 1997
Summary
Laparoscopic-assisted resection (ALR) and dissection-facilitated laparoscopic resection (DLR) are feasible for elective diverticular disease. Patient selection for ALR or DLR depends on preoperative and intraoperative factors to determine technical difficulty.
Area of Science:
- Minimally Invasive Surgery
- Colorectal Surgery
- Surgical Oncology
Background:
- Laparoscopic-assisted approaches for colorectal cancer are debated.
- Laparoscopic techniques offer advantages for benign colorectal conditions.
- Diverticular disease is a common benign condition requiring surgical intervention.
Purpose of the Study:
- To assess the feasibility of laparoscopic-assisted resection (ALR) for elective diverticular disease.
- To evaluate dissection-facilitated laparoscopic resection (DLR) as an alternative approach.
- To identify predictive factors for selecting between ALR and DLR.
Main Methods:
- Prospective study of 41 patients undergoing elective surgery for diverticular disease.
- Procedures included ALR, DLR, and conversion to laparotomy.
- Data collected preoperatively and intraoperatively informed procedural choice.
Main Results:
- 29 patients underwent ALR, 7 underwent DLR.
- 15% of patients (5/41) required conversion to laparotomy.
- Morbidity was 17.5% with no mortality; mean hospital stay was 6.5 days.
Conclusions:
- Both ALR and DLR are viable laparoscopic options for diverticular disease.
- The choice between ALR and DLR depends on the complexity of the inflammatory process.
- Preoperative and intraoperative assessments are crucial for selecting the optimal surgical approach.