Laparoscopic Segmental Resection of the Sigmoid Colon for Endometriosis

Abstract

We report a technique for laparoscopic segmental resection of the sigmoid colon. A 30.73-year-old nulligravida complained of pelvic pain, abdominal bloating, intestinal cramping, and painful bowel movements. Examination revealed significant nodularity of the posterior pelvis, so a preoperative bowel prep was given. At laparoscopy, a 5 cm diameter mid-sigmoid lesion was found, as well as a rectal nodule and pelvic endometriosis. The sigmoid lesion was separated from the mesocolon by bipolar electrocoagulation and scissors dissection. The segment was then removed by transection with a needle electrode and extraction through the anus. A stapled end to end anastomosis was performed. This technique can be applied to a variety of benign lesions of the bowel, and can result in decreased patient morbidity and hospital stay.

Reducing invasiveness of laparoscopic surgery using natural orifices and abdominal wall defects for extraction of the specimen

“…Endometriosis miatt már több mint 25 éve végez-nek ilyen műtétet [15], a sebészek 3 éve alkalmazták elő-ször ezt a módszert [16]. Napjainkban már nemcsak a transrectalisan végzett specimeneltávolítás miatt került előtérbe, hanem az egyre szélesebb indikációval végzett transanalis endoszkópos mikrosebészet [17] és a kizáró-lag transrectalisan végzett rectumtumorműtétek -vagyis valódi NOTES-műtétek -miatt [18,19].…”

A comparison of resection margins and lymph node clearance in laparoscopic vs open anterior and abdomino-perineal resections for carcinoma of rectum

“…Minimal access resections reduce the length of exposure incision while having a clear vision with magnification facilitating the resection (1). The first laparoscopic assisted left hemicolectomy performed in 1991 reported to have reduced morbidity (2). The problems associated with the new learning curve became less over time, whilst providing clear benefits (1,(3)(4)(5)(6).…”

Peri-Operative Care in Colorectal Surgery in the Twenty-First Century

“…Large published studies, randomized trials and meta-analyses suggest an average length of hospital stay of about ten days (Bokey et al, 1995;Abraham et al, 2004Abraham et al, & 2007. In an attempt to mimic the success of laparoscopic gall bladder surgery, laparoscopic colorectal resection was introduced in 1991 as a proposed less invasive alternative to the open technique (Jacobs, 1991;Redwine, 1991). Under conventional circumstances, in the first published series of 20 laparoscopic sigmoid colectomies, the authors reported that a five-day hospital stay was achieved in 70% of patients.…”