Laparoscopic left colon resection for diverticular disease

Trébuchet, G.; Lechaux, D.; Lecalve, J.L.

doi:10.1007/s004640090122

Cited by 53 publications

(45 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Stricture of the anastomosis occurred in 3.41% of our patients, which is comparable to most studies (0.5-5.9%) and can be explained by the inflammatory process 4,17 ,and the stapler size, specially if diameters less than 28 mm are used 5 . Even though sexual dysfunction is a feared complication after such operation, our series included 98 men and only one of them had to deal with this issue which was a transient problem managed conservatively.…”

Section: Discussionsupporting

confidence: 87%

Colectomia eletiva laparoscópica esquerda para a doença diverticular: estudo monocêntrico sobre 205 pacientes consecutivos

Pinto

Fallatah

Espalieu

et al. 2010

ABCD, arq. bras. cir. dig.

View full text Add to dashboard Cite

-Background -The increased prevalence of diverticular disease has made its most appropriate management a matter of constant debate. Especially for the cases of diverticulitis, considerable progress has been made in terms of diagnosis and management.The surgical resection of the involved colon is the only means of definitely eradicate this condition and so, the elective laparoscopic colectomy has emerged as a safe and interesting choice among the options of treatment. Aim -To analyze the outcomes of the laparoscopic left colectomy for diverticular disease performed over a 17-year period at a single institution. Methods -Between April 1990 and May 2007, a total of 205 consecutive left laparoscopic colectomies were retrospectively reviewed. Data obtained included the pre-operative workup, indications for surgery, operative results, complications and follow-up. Univariate and multivariate statistical analyzes were performed in an effort to identity risk factors for adverse outcomes in the series. Results -Indications were for non-complicated acute diverticulitis (80%), acute or chronic complicated diverticulitis (18.05%) and bleeding diverticular disease (1.95%). The conversion rate was 5.85% (12 cases). The median operative time was 180 (100-420) min with a hospital stay of 7 (5-44) days. The mean length of the resected specimen was 29.12 (+8.2) cm. Most cases (88.3%) had an unremarkable postoperative course but complications occurred in 24 (11.7%) patients. In order of frequency, these were: paralytic ileus (n=6), pelvic collections (n=4), bowel obstructions (n=4) and fistulas (n=2), among others. A re-operation was necessary in eight cases and there was one death (0.48%). Median follow-up was 26.5 (1-156) months with a satisfying result seen in 179 (87.32%) of the patients. In 18 (8.78%) cases, persistent symptoms of functional colonic disorders were noted. There were 7 (3.41%) anastomotic stenosis in witch two needed a re-operation. The recurrence rate was 1.95% (4 cases). Age and intraoperative complications were identified as risk factors for conversion. The presence of associated lesions was significantly correlated with the persistence of functional colonic symptoms during the follow-up. ConclusionsThe laparoscopic left colectomy is safe and effective in comparison to all other modalities of management for diverticular disease. Precise diagnosis and respect of the current indications are essential to achieve such results.RESUMO -Racional -O aumento da prevalência de doença diverticular tornou o seu manuseio mais adequado uma questão de debate constante. Especialmente para os casos de diverticulite, progresso considerável tem sido feito em termos de diagnóstico e tratamento. A ressecção cirúrgica do cólon envolvido é a única maneira de erradicar definitivamente essa condição e, portanto, a colectomia laparoscópica eletiva surgiu como uma opção segura e interessante entre as várias formas de tratamento. Objetivo -Analisar os resultados das colectomias laparoscópicas esquerdas para a doença diverticula...

show abstract

Section: Discussionsupporting

confidence: 87%

Colectomia eletiva laparoscópica esquerda para a doença diverticular: estudo monocêntrico sobre 205 pacientes consecutivos

Pinto

Fallatah

Espalieu

et al. 2010

ABCD, arq. bras. cir. dig.

View full text Add to dashboard Cite

show abstract

“…3 Overall, recent studies of laparoscopic management of complicated diverticulitis have demonstrated that in capable hands, operating times and conversion rates are acceptable, and morbidity and mortality rates are comparable with open surgery. 2,6,7,43,[55][56][57][58] …”

Section: Management Of Diverticular Diseasementioning

confidence: 99%

Laparoscopic Management of Diverticular Colovesical Fistula: Experience in 15 Cases and Review of the Literature

Marney

2013

International Surgery

View full text Add to dashboard Cite

Colovesical fistulas secondary to diverticular disease may be considered a contraindication to the laparoscopic approach. The feasibility of laparoscopic management of complicated diverticulitis and mixed diverticular fistulas has been demonstrated. However, few studies on the laparoscopic management of diverticular colovesical fistulas exist. A retrospective analysis was performed of 15 patients with diverticular colovesical fistula, who underwent laparoscopic-assisted anterior resection and bladder repair. Median operating time was 135 minutes and median blood loss, 75 mL. Five patients were converted to an open procedure (33.3%) with an associated increase in hospital stay (P ¼ 0.035). Median time to return of bowel function was 2 days and median length of stay, 6 days. Overall morbidity was 20% with no major complications. There was no mortality. There was no recurrence during median follow-up of 12.4 months. These results suggest that laparoscopic management of diverticular colovesical fistulas is both feasible and safe in the setting of appropriate surgical expertise.

show abstract

“…Compared with open surgery, laparoscopic surgery offers many benefits, such as smaller surgical wounds, good esthetic results, less pain, decreased use of analgesics, early recovery of intestinal peristalsis, and a shorter hospital stay [10][11][12][13][14][15][16][17][18][19] . In terms of inflammatory cytokine levels, however, the minimal invasiveness of laparoscopic surgery remains controversial.…”

Section: Colon Cancermentioning

confidence: 99%

The present status and developments of laparoscopic surgery for colorectal cancer

Sato

Watanabe

2017

J Anus Rectum Colon

View full text Add to dashboard Cite

Abstract:Laparoscopic surgery for colorectal cancer has been shown to be less invasive than open surgery, while maintaining a similar safety level in many clinical trials. Furthermore, there are no significant differences between laparoscopic surgery and open surgery with respect to the long-term outcomes in colon cancer. Thus, laparoscopic surgery has been accepted as one of the standard treatments for colon cancer. In addition, laparoscopic surgery has also achieved favorable outcomes in the treatments of rectal cancer, with many reports showing long-term outcomes comparable to those of open surgery. Furthermore, the magnification in laparoscopy improves visualization in the pelvic cavity and facilitates precise manipulation, as well as providing an excellent educational opportunity. Laparoscopic surgery may be an ideal approach for the treatment of rectal cancer and colon cancer. Recently, two trials showed that, among patients with advanced rectal cancer, the use of laparoscopic surgery as compared with open surgery confirmed to meet the criterion for non-inferiority for long-term outcomes. In addition, new techniques such as single-port and robotic surgery have been introduced for laparoscopic surgery in recent years.

show abstract

Laparoscopic left colon resection for diverticular disease

Cited by 53 publications

References 17 publications

Colectomia eletiva laparoscópica esquerda para a doença diverticular: estudo monocêntrico sobre 205 pacientes consecutivos

Colectomia eletiva laparoscópica esquerda para a doença diverticular: estudo monocêntrico sobre 205 pacientes consecutivos

Laparoscopic Management of Diverticular Colovesical Fistula: Experience in 15 Cases and Review of the Literature

The present status and developments of laparoscopic surgery for colorectal cancer

Contact Info

Product

Resources

About