CAZURI CLINICE - CASE STUDIES
LAPAROSCOPIC SIGMOIDECTOMY FOR COLONIC DIVERTICULAR
DISEASE – CASE REPORT
C. Bradea, Cr. Lupascu, Raluca Anton
First Surgical Clinic, „St. Spiridon” Hospital Iasi,
Research Center for Laparoscopic and Classic Surgery,
University of Medicine and Pharmacy Iasi
Jurnalul de chirurgie 2005; 1 (1):76-80
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Abstract:
The aim of this presentation is to show the feasibility of resection
and stappled anastomosis using laparoscopic technique.
Material and method:
A 48 years old male was admitted in our clinic with a colonoscopic
diagnosis of diverticular disease limited to the sigmoid colon The
symptoms included abdominal pain in the left lower quadrant, vomiting
and flatulence lasting for a couple of months. The operation started
with laparoscopic diagnosis, followed by the insertion of the additional
trocars.
We dissected the sigmoid mesentery using by-polar cautery, followed
by transection of the recto-sigmoid junction with a linear laparoscopic
stappler. Resection of the colon was completed outside the abdomen
and the operation was finished using a transanal stappled colorectal
anastomosis, inside the abdomen, under laparoscopic control.
Results:
The recovery of the case was simple, painless, without wound infection
or abdominal sepsis, early mobilization and return to full activity.
KEYWORDS: COLON, DIVERTICULAR DISEASE, LAPAROSCOPY.
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