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

Abstract

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.