Laparoscopic Colectomy in Diverticular and Crohn's Disease

Previous abdominal operations do not affect the outcomes of laparoscopic colorectal surgery

“…The development of laparoscopy in colorectal surgery also has been rapid in the recent decade, and most colorectal procedures can now be performed with the laparoscopy. This approach has become increasingly accepted for benign colorectal diseases such as diverticulitis [5,22] and inflammatory bowel diseases [19,24]. Moreover, studies on medium and long-term oncologic outcomes have showed that laparoscopy does not compromise the cure of patients with colorectal cancer [9,12,15,17].…”

Laparoscopic Advances in General Surgery

“…28 In a review of noncomparative studies reporting laparoscopic resection for diverticular disease, the average time to food tolerance was 2.8 days (usually Ͼ4 days for open procedures in most series), mean hospitalization was 5.8 days (for open procedures, the reported hospital stay is 7-17 days), and the mean morbidity rate was 13%. 26,29 Results in patients with Crohn disease have been similar. 26 According to these studies, laparoscopic colon surgery for nonmalignant disease offers several potential benefits to the patient.…”

“…26,29 Results in patients with Crohn disease have been similar. 26 According to these studies, laparoscopic colon surgery for nonmalignant disease offers several potential benefits to the patient.…”

“…Extensive vasculature, performance of an anastomosis, and tissue extraction make the procedure more technically demanding. 26 The laparoscopic approach, shown to be technically feasible, has been better received for nonmalignant colorectal disorders such as inflammatory bowel disease, diverticulitis, rectal prolapse, and polyps. 27 In one of the earliest reports comparing 14 laparoscopic to 14 open resections for diverticular disease, investigators reported decreased blood loss (mean, 171 vs 312 mL), reduced hospital stay (mean, 6.3 vs 9.2 days), and earlier time to food tolerance (mean, 2.9 vs 6.1 days) with the laparoscopic procedures.…”

Hand-assisted laparoscopic autoaugmentation gastrocystoplasty

“…Laparoscopy has been shown to decrease morbidity in both adults and children [17,18]. Minimalization of scarring and postoperative adhesions and a shorter recovery time are all advantages of laparoscopy.…”