Prospective Evaluation of Functional Outcome After Laparoscopic Sigmoid Colectomy

Abstract

Significant improvement in quality of life and social functioning accrues from elective sigmoid resection in the majority of patients. Avoidance of subsequent episodic attacks therefore should not represent the sole reason for operating but instead patient-centered issues should be prioritized.

Practice parameters for the treatment of colonic diverticular disease: Italian Society of Colon and Rectal Surgery (SICCR) guidelines

“…The only randomized study included patients undergoing open surgery and was considered of poor quality [151]. Preservation of the IMA is also achievable laparoscopically: however, two studies on laparoscopic resection for DD show similar effects on sexual and urinary function with [152] or without [153] IMA preservation.…”

Surgical Treatment of Acute Recurrent Diverticulitis: Early Elective or Late Elective Surgery. An Analysis of 237 Patients

“…Elective laparoscopic colectomy has become a standard procedure for symptomatic diverticular disease [11][12][13][14][15][16]. It can be safely performed even in complicated diverticulitis [17] and has a better outcome than laparotomy [18][19][20]. A recently published meta-analysis concerning laparoscopic surgery in diverticulitis showed less intraoperative blood loss, shorter hospital stay, reduced need of analgesia, earlier beginning of solid diet, and reduced morbidity and major complications compared to open surgery [21].…”

“…To date, published studies are still controversial concerning the ideal timing of the surgical intervention in acute diverticulitis [1,2,10,12,13,16,17,[22][23][24][25][26][27][28][29][30][31][32][33][34][35]. Based on the findings of Siewert et al [27], early elective surgery has gained increasing interest, because it is associated with good outcome and low morbidity [19], and it significantly increases the patient's quality of life and social function [20,36]. This early elective concept, based on adequate response to antibiotic therapy, tries to join the advantages of reduced tissue edema, avoided post-inflammatory adhesions, prevented recurrent diverticulitis, and single hospital stay.…”

NOTES-Natural orifice transluminal endoscopic surgery: Why not?

“…This will avoid the usual "one size fits all" strategy that often relies on extended surgical resection of large specimens simply to perform the corr ect cancer staging. This approach rarely adds any clinical benefit to the patients while may impair their functional outcome and quality of life [11] . In this special issue of the World Journal of Gastrointestinal Surgery, leading experts in the field report on their current experimental and clinical experience with this new approach, such as "Natural orifice transluminal endoscopic surgery: The transvaginal route moving forward from cholecyst ectomy" by Targarona et al [12] , "Transgastric cholecystec tomy: From the laboratory to clinical implementation" by Dallemagne et al [13] , "Current experience and future directions of completely NOTES colorectal resection" by Sylla [14] , "Natural orifice transluminal endoscopic surgery and localized resection for colorectal neoplasia" by Cahill et al [15] , "NOTES: The question for minimal resection and sentinel node in early gastric cancer" by Asakuma et al [16] , "Single access laparoscopic surgery: Complementary or alternative to NOTES?"…”

“…This will avoid the usual "one size fits all" strategy that often relies on extended surgical resection of large specimens simply to perform the corr ect cancer staging. This approach rarely adds any clinical benefit to the patients while may impair their functional outcome and quality of life [11] . …”