"Robotic Sigmoidectomy for Diverticular Disease" by Joseph Devlin, Ruth Natalie Reed et al.
 

Robotic Sigmoidectomy for Diverticular Disease

Document Type

Journal Article

Publication Date

11-1-2024

Journal

Journal of laparoendoscopic & advanced surgical techniques. Part A

Volume

34

Issue

11

DOI

10.1089/lap.2024.0329

Keywords

colon resection; diverticulitis; robotic surgery

Abstract

Historically, colon resection was recommended after one episode of complicated diverticulitis. However, current trends favor a more individualized approach. This review examines elective sigmoidectomy for complicated diverticulitis as well as robotic approaches for diverticular disease. The literature was reviewed for timely (post 2000) and relevant articles regarding robotics and diverticulitis. The articles included large prospective series, retrospective analysis, meta-analyses and randomized controlled trials. Primary anastomosis with or without protective ileostomy has emerged as an alternative to the Hartman's procedure in emergent or urgent surgery in patients without significant comorbidities. Elective sigmoidectomy after an episode of complicated diverticulitis should be decided on a case-by-case basis considering patient characteristics, continued subacute symptoms, complications from the disease, and chance of recurrence episodes. There are several variations techniques for robotic sigmoidectomy outlined in this article, and familiarity with all can help depending on the logistics of the case. Minimally invasive colectomy provides superior patient satisfaction and outcomes.

Department

School of Medicine and Health Sciences Resident Works

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