Elective laparoscopic colonic resection for diverticular disease

Bouillot, Jean‐Luc; Berthou, J.; Champault, G; Meyer, Christian; Arnaud, Jean‐Pierre; Samama, G; Collet, Denis; Bressler, Peter; Gainant, A; Delaitre, B

doi:10.1007/s00464-001-9236-x

Cited by 69 publications

(60 citation statements)

References 28 publications

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“…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: 88%

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.

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-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...

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Section: Discussionsupporting

confidence: 88%

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.

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“…Laparoscopic surgery for complicated diverticular disease, including fistulas, has not yet been accepted as the treatment of choice; it is usually reserved for elective cases [19,20]. Generally, internal fistulas that complicate diverticulitis are associated with high conversion rates and post-operative morbidity, resulting from close adhesions as well as insufficient surgical experience [16,18,[21][22][23].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic conservative treatment of colo-vesical fistulas following trauma and diverticulitis: report of two different cases

et al. 2013

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“…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

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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.

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Elective laparoscopic colonic resection for diverticular disease

Cited by 69 publications

References 28 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 conservative treatment of colo-vesical fistulas following trauma and diverticulitis: report of two different cases

The present status and developments of laparoscopic surgery for colorectal cancer

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