Research Article
Volume 8 Issue 3 - 2021
Elective Laparoscopic Resections and Laparoscopic Colostomy Reversal Procedures for Diverticular Disease of the Colon
VL Denisenk1,2*, KG Tsyplakov1 and Yu M Gain3
1Vitebsk Regional Clinical Specialized Center, Vitebsk, Republic of Belarus
2Vitebsk State Medical University, Vitebsk, Belarus of Belarus
3Belarusian Medical Academy of Post-Graduate Education, Minsk, Republic of Belarus
*Corresponding Author: VL Denisenko, Vitebsk Regional Clinical Specialized Center and Vitebsk State Medical University, Vitebsk, Belarus of Belarus.
Received: January 14, 2021; Published: February 27, 2021




Abstract

Introduction: Diverticular disease of the colon and its complications is a frequent pathology in representatives of Western civilization. Most often, acute and chronic diverticulitis, bleeding from diverticulums, the formation of strictures and fistulas of the colon develop. Diverticulum perforation is still one of the leading causes of emergency laparotomy and colostomy. The choice of surgical tactics for acute diverticulitis complicated by abscess and peritonitis remains a matter of debate. Even less unambiguous are approaches to determining indications for elective colon resection for diverticular disease. The introduction of laparoscopic technologies into colorectal surgery allowed us to take a fresh look at the elective resection of the colon for diverticular disease. The use of laparoscopic technologies during reconstructive surgery can improve the immediate results of treatment of patients.

Aim: Implementation in clinical practice and obtaining own experience of elective laparoscopic surgical interventions in the management of complicated diverticular disease of the colon.

Materials and Methods: Fourteen patients with diverticular colon disease were operated using laparoscopic techniques and the formation of a large intestine anastomosis. In five patients (46%), only laparoscopic colon resection was performed with a large intestine anastomosis due to diverticular disease complicated by recurrent diverticulitis. Nine patients (64%) underwent laparoscopically assisted reconstructive surgery for a colostomy formed by a diverticular disease of the colon complicated by acute diverticulitis. patients with diverticular colon disease were operated using laparoscopic techniques and the formation of a large intestine anastomosis. In five patients (46%), only laparoscopic colon resection was performed with a large bowel anastomosis due to diverticular disease complicated by recurrent diverticulitis. Nine patients (64%) underwent laparoscopically assisted reconstructive surgery for a colostomy formed by a diverticular disease of the colon complicated by acute diverticulitis.

Results and Discussion: Surgery was successful in all patients. High duration of operations and low blood loss were noted. Colonic anastomosis is formed in all patients. Stapler anastomosis performed in 71% of patients, manual anastomosis in 29% of patients. One patient with a low colorectal anastomosis had a preventive loop ileostomy. Conversions of operative access to laparotomy and postoperative mortality were not. Class II complication developed in one patient. A short duration of the postoperative period and a short stay in the intensive care unit, low intensity of the pain syndrome and early restoration of bowel function were recorded.

Conclusion: The resulting experience confirms the need to use laparoscopic techniques in patients with diverticular disease of the colon. A small number of complications and good immediate results allow us to predict a wider use of such operations in patients with diverticular disease.

 

Keywords: Laparoscopic Resection; Diverticular Disease; Diverticulitis; Colonic Anastomosis

References

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Citation: VL Denisenko., et al. “Elective Laparoscopic Resections and Laparoscopic Colostomy Reversal Procedures for Diverticular Disease of the Colon”. EC Gastroenterology and Digestive System 8.3 (2021): 147-153.

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