Laparoskopische Resektion eines Riesenkolondivertikels

Roch, Paul Jonathan; Friedrich, Thomas; Bönninghoff, Roderich; Dinter, Dietmar; Rickert, Alexander

doi:10.1007/s00104-017-0412-5

Cited by 8 publications

(3 citation statements)

References 14 publications

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“…A laparoscopic right hemicolectomy was performed for one-stage treatment [ 3 ]. Roch et al reported that laparoscopic atypical colon wedge resection was safely performed, and it might be considered an alternative for extended resections of giant diverticula [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Intussusception caused by an inverted colonic diverticulum: a case report

Zhang

Wang

et al. 2018

J Med Case Reports

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BackgroundIntussusception is an unusual disorder among the complications of diverticula in adults. This study aimed to report intussusception due to an inverted colonic diverticulum. Such a large inverted colonic diverticulum has rarely been reported.Case presentationA 62-year-old Chinese woman presented to the First Hospital of Jilin University with abdominal pain, vomiting, and bloody stool. Preoperative computed tomography imaging indicated intussusception. The intraoperative diagnosis was consistent with postoperative pathology. Our patient was diagnosed as having an inverted colonic diverticulum near the ileocecal valve with intussusception and intestinal necrosis.ConclusionAlthough inverted colonic diverticulum is extremely rare, it should also be considered among the causative factors of intussusception.

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Section: Discussionmentioning

confidence: 99%

Intussusception caused by an inverted colonic diverticulum: a case report

Zhang

Wang

et al. 2018

J Med Case Reports

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“…Other advantages include the use of immunofluorescence to assess the blood supply of the colon to determine resection margins and the integration of flexible wristed instruments allowing the surgeon more degrees of freedom for suturing [4]. These advantages overcome some of the challenges associated with open and laparoscopy can be overcome [5][6][7][8][9][10][11][12].…”

Section: Discussionmentioning

confidence: 99%

Surgical Management of Giant Colonic Diverticulum with Da Vinci Robotic System: A Case Report

2023

Ann Case Report

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Background: Giant colonic diverticulum is rare occurrence with less than 200 cases reported in the scientific literature. Robotically assisted laparoscopic colectomy is widely used in the treatment of diverticular disease but has not been reported in the treatment of giant diverticulum. Case Report:We present a case of giant sigmoid diverticulum treated surgically with the Da Vinci Robotic System. The patients is a 51-year-old female with well controlled Type II diabetes, and hypertension. She had a McNutt type II diverticulum or inflammatory type, which is the most common. Serial imaging demonstrated progressive enlargement of the diverticula over the course of a year indicating it was a progressive entity. The patient had intermittent symptomatology associated with her diverticulum all of which resolved with resection. Conclusion:The Intuitive DaVinci Robotic System is a platform that offers three-dimensional laparoscopic visualization and more degrees of operative dexterity with its wristed instruments, facilitating the identification and mobilization in this difficult case.

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“…Some advocate for a more traditional hemicolectomy on the affected side, to reduce any chance of recurrence [ 5 ]. Others have had success with a simple wedge resection of the diverticulum [ 7 ]. Surgery can be open, laparoscopic, or robotically assisted depending on the availability of specialty equipment and surgeon experience.…”

Section: Discussionmentioning

confidence: 99%

Surgical Management of Giant Colonic Diverticulum Presenting After Laparoscopic Lavage for Diverticular Perforation and Sepsis

et al. 2020

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Patient: Female, 74-year-old Final Diagnosis: Giant diverticulum Symptoms: Abdominal discomfort • bloating and constipation Medication:— Clinical Procedure: Laparoscopic washout • open sigmoidectomy Specialty: Surgery Objective: Rare disease Background: Diverticulosis and its complication of diverticulitis is a common condition that can be found in up to 35% of the population. Giant colonic diverticulum is a rare entity with fewer than 200 cases reported in the scientific literature. Development of a giant diverticulum as a sequelae of laparoscopic washout is an unreported event in current literature. Case Report: The patient was a 74-year-old female who had a well-known history of diverticulosis and diverticulitis. She developed perforated sigmoid diverticulitis, underwent laparoscopic washout and recovered without colon resection. Within a year after washout, she developed abdominal distention and bloating, and computed tomography (CT) imaging revealed a giant diverticulum. She went on to undergo surgery for resection of her sigmoid colon, which contained the giant diverticulum. Her recovery was otherwise uneventful. Conclusions: To our knowledge, this is the first case report of giant diverticulum presenting as a complication of abdominal washout for management of acute diverticulitis. Initial CT scan performed at the time of perforation did not demonstrate this diverticulum, indicating that it developed within the year after abdominal washout for sepsis and acute rupture, likely due to weakening of the colonic wall secondary to ongoing inflammation. The very rare presentation of giant diverticulum makes it difficult to establish a clear link to washout, however, this case establishes a groundwork for further investigation as our fund of knowledge on the subject continues to grow.

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Laparoskopische Resektion eines Riesenkolondivertikels

Cited by 8 publications

References 14 publications

Intussusception caused by an inverted colonic diverticulum: a case report

Intussusception caused by an inverted colonic diverticulum: a case report

Surgical Management of Giant Colonic Diverticulum with Da Vinci Robotic System: A Case Report

Surgical Management of Giant Colonic Diverticulum Presenting After Laparoscopic Lavage for Diverticular Perforation and Sepsis

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