Peripheral vs pedicle division in laparoscopic resection of sigmoid diverticulitis: a 10-year experience

International Journal of Colorectal Disease
Alberto PosabellaIda Füglistaler

Abstract

Laparoscopic rectosigmoid resection is the standard surgical treatment for recurrent sigmoid diverticulitis. However, speaking of mesenterium division, no unique standard procedure is actually provided. Surgeons can perform it at the level of either the sigmoid vessels or the inferior mesenteric vessels. The objective of this study was to compare intra- and postoperative complications of both techniques. From a prospective collected database of patients that underwent elective laparoscopic sigmoid resection between January 2004 and December 2014, a retrospective analysis according to the selected operative technique was performed. A total of 1016 patients were operated, and a pedicle division of the mesenteric vessels was performed in 280 patients (central group 27.6%) while a peripheral division was performed in 736 patients (peripheral group 72.4%). Comparison of these two groups demonstrated no statistically significant difference regarding age or stage of disease. Thirteen patients (1.3%) developed anastomotic leak; among them, nine belonged to the peripheral group (1.2 vs 1.4% p = 0.794). Twenty-four patients (2.4%) developed postoperative rectal bleeding but only in nine cases was a bleeding of the anastomosis confirmed u...Continue Reading

References

Aug 1, 1987·Annals of Surgery·R K JexD M Ilstrup
May 1, 1973·Annals of Surgery·T R SchrockJ E Dunphy
Jun 1, 1997·The Surgical Clinics of North America·F J Thornton, A Barbul
Oct 24, 2002·Diseases of the Colon and Rectum·Amit DwivediYvan J Silva
Mar 11, 2003·Diseases of the Colon and Rectum·Klaus ThalerRoberto Bergamaschi
Jan 19, 2005·Techniques in Coloproctology·J RoseF Köckerling
Mar 29, 2005·American Journal of Surgery·Andrea SilverHarry Wasvary
Jul 22, 2005·The Cochrane Database of Systematic Reviews·W SchwenkJ M Müller
Dec 1, 2005·Acta chirurgica Belgica·J L Faucheron
Jun 3, 2006·Diseases of the Colon and Rectum·Janice RaffertyUNKNOWN Standards Committee of American Society of Colon and Rectal Surgeons
Mar 7, 2007·Acta chirurgica Iugoslavica·Giusto Pignata
Mar 16, 2007·Techniques in Coloproctology·R O PerezA Habr-Gama
Feb 13, 2009·Annals of Surgery·Antonello ForgioneJacques Marescaux
Mar 17, 2009·Techniques in Coloproctology·Maria-Angeles Martínez-SerranoLuis Grande
Mar 9, 2012·Journal of the American College of Surgeons·Adrian T BilleterSusan Galandiuk
May 29, 2012·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·R CirocchiC Boselli
Feb 11, 2014·Diseases of the Colon and Rectum·Daniel FeingoldJanice Frederick Rafferty

❮ Previous
Next ❯

Citations

Jan 5, 2019·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·R CirocchiS Di Saverio
Jul 9, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·J K SchultzE Angenete

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Seiichiro YamamotoYoshihiro Moriya
Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
Anthony J SenagoreC Victor W Fazio
© 2022 Meta ULC. All rights reserved