Staged laparoscopic resection for complicated sigmoid diverticulitis

Sergio A. Martinez, Vasana Cheanvechai, Fahad S. Alasfar, Laurence R. Sands, Michael D. Hellinger

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Previous studies have utilized different regimens of laparoscopic surgery for treatment of both acute and chronic diverticular diseases. Our aims were to assert that laparoscopic-assisted sigmoid resection and anastomosis for sigmoid diverticulitis after acute attacks is safe and feasible, provided the inflammatory process has subsided. A chart review was undertaken of patients who underwent laparoscopic sigmoid resection after resolution of the acute attack of diverticulitis at hospitals affiliated with the University of Miami. Thirty-eight patients, median age 52 years, were identified. Laceration of the spleen was the only intraoperative complication (one patient). Seven patients (18%) were converted due to severe adhesions. Regular diet was tolerated on the third postoperative day, and the length of hospital stay was 4 days. No major complications or deaths occurred. In conclusion, laparoscopic surgery for sigmoid diverticulitis after resolution of the acute process seems safe and feasible and provides excellent immediate postoperative recovery.

Original languageEnglish (US)
Pages (from-to)99-105
Number of pages7
JournalSurgical Laparoscopy and Endoscopy
Volume9
Issue number2
DOIs
StatePublished - Apr 1999

Keywords

  • Colon
  • Diverticulitis
  • Laparoscopic surgery
  • Sigmoid

ASJC Scopus subject areas

  • Surgery

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