Laparoscopic resection for diverticular disease

Bruce, Christopher J.; Coller, John A.; Murray, John; Schoetz, David J.; Roberts, Patricia L.; Rusin, Lawrence C.

doi:10.1007/bf02053798

Cited by 128 publications

(112 citation statements)

References 8 publications

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“…Laparoscopic surgery has been reported to cause less postoperative pain when compared with open surgery [1][2][3][4][5][6][7][8]. Three studies [2,3,7] addressed the problem of postoperative pain and had used PCA as the main modality of treatment.…”

Section: Discussionmentioning

confidence: 99%

“…The advantages of laparoscopic surgery include less postoperative pain [1][2][3][4][5][6] and earlier discharge. Laparoscopic colorectal surgery has been developed since 1990 [5].…”

mentioning

confidence: 99%

“…Laparoscopic colorectal surgery has been developed since 1990 [5]. At our hospital, > 200 cases of laparoscopic colorectal surgery have been performed since 1995.…”

mentioning

confidence: 99%

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Use of intrathecal morphine for postoperative pain relief after elective laparoscopic colorectal surgery

Sh¹,

Onsiong

Chiu³

et al. 2002

Anaesthesia

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SummaryLaparoscopic surgery has become popular in recent years, but few studies have addressed analgesia for this type of surgery. We conducted a prospective double-blind randomised trial on 36 cases of laparoscopic colorectal surgery to determine the influence of intrathecal morphine on postoperative pain relief. All patients received a subarachnoid block with local anaesthetic in addition to general anaesthesia. One group also received intrathecal morphine. A patient-controlled analgesic (PCA) device was prescribed for pain control postoperatively and the visual analogue score (VAS) was used for pain assessment. The group who received intrathecal morphine used significantly less morphine. There were no adverse cardiovascular effects of the combined anaesthetic technique. Nausea and vomiting remained the main side-effect of intrathecal morphine but this was easily treated with anti-emetics.

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Section: Discussionmentioning

confidence: 99%

“…The advantages of laparoscopic surgery include less postoperative pain [1][2][3][4][5][6] and earlier discharge. Laparoscopic colorectal surgery has been developed since 1990 [5].…”

mentioning

confidence: 99%

See 1 more Smart Citation

Use of intrathecal morphine for postoperative pain relief after elective laparoscopic colorectal surgery

Sh¹,

Onsiong

Chiu³

et al. 2002

Anaesthesia

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“…Laparoscopic resection was demonstrated to be feasible and safe in recurrent uncomplicated disease. 1,23,[41][42][43][44] A randomized controlled trial comparing laparoscopic versus open surgery for symptomatic sigmoid diverticulitis found reduced major complication rates, shorter hospital stay, and improved quality of life in the laparoscopic group. There was an overall 27% reduction in postoperative morbidity, and long-term outcomes were comparable.…”

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

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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.

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“…Por outro lado, a experiência acumulada com o uso do acesso vídeo-laparoscópico no tratamento cirúrgico eletivo da doença diverticular constitui a melhor indicação para o uso desta via de acesso dentre as afecções coloproctológicas, segundo a opinião de diversos autores (7,8) . Não há dúvidas quanto à exeqüibilidade da ressecção de segmentos colônicos nesta afecção, aferida pela velocidade com que vem sendo reproduzida em diversos centros com experiência em cirurgia coloproctológica e vídeo-laparoscópica.…”

Section: Papel Da Videolaparoscopiaunclassified

Acesso vídeo-laparoscópico no tratamento cirúrgico da diverticulite aguda

Sousa¹,

Neto²,

Habr‐Gama³

2006

Rev bras. colo-proctol.

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RESUMO: A revisão de conceitos baseada na literatura recente relacionada ao tratamento da doença diverticular dos cólons pelo acesso vídeolaparoscópico é apresentada ao lado das indicações de formas de tratamento clássicas. A dupla abordagem videolaparoscópica, imediata para tratamento da peritonite seguida da ressecção tornada eletiva é a modalidade nova na literatura, mas ainda não padronizada. Discutem os autores dados relativos a esta tática e de outros estudos que podem ampliar o emprego desta abordagem.Descritores: Colectomia; colectomia laparoscópica; cirurgia minimamente invasiva; doença diverticular; diverticulite. Disciplina de Coloproctologia do Departamento de Gastroenterologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de INTRODUÇÃOA alta e crescente prevalência da doença diverticular dos cólons, que atinge cerca de 60% na população acima da sétima década de vida (1) , assim como os riscos inerentes aos episódios agudos de diverticulite aguda (DA), perpetuam a discussão quanto ao seu melhor manejo.Por outro lado, a relativa baixa proporção de casos de diverticulite, torna interessante a revisão de literatura dirigida, por amplificar a análise de dados e rediscutir condutas clássicas.O tratamento de quadro agudo da doença diverticular dos cólons, manifestado com infecção, está entre os tópicos que merecem revisão, em que pese constituir somente 1% ou menos de casuísticas de portadores de doença diverticular.Da mesma forma, a discussão quanto ao diagnóstico, às medidas clínicas (jejum até recuperação do íleo paralítico, emprego de antibióticos, tipo de hidratação parenteral, repouso, prazos de observação cliínica até eventual mudança para a atitude cirúrgi-ca) e até os meandros do raciocínio relativos à fisiopatologia são atuais, mas escapam ao escopo deste trabalho, estando disponíveis em revisões minuciosas e ilustrativas (2,3) . Indicação do tratamento cirúrgicoConstitui o quadro agudo infeccioso da diverticulite aguda urgência médica que enseja variadas opções terapêuticas, uma vez que sua apresentação é também variada, em espectro contínuo desde a diverticulite propriamente dita -um divertículo e a região onde se encontra tornam-se substrato de infecção -até a peritonite fecal disseminada originada de comunicação da luz intestinal com a cavidade abdominal através de divertículo perfurado devido ao agravamento da infecção diverticular inicial. Assim, o quadro mais lo-

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Laparoscopic resection for diverticular disease

Cited by 128 publications

References 8 publications

Use of intrathecal morphine for postoperative pain relief after elective laparoscopic colorectal surgery

Use of intrathecal morphine for postoperative pain relief after elective laparoscopic colorectal surgery

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

Acesso vídeo-laparoscópico no tratamento cirúrgico da diverticulite aguda

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