Authors: David Schwartzberg, Noah Cohen, Jordan Schwartzberg, Paresh C. Shah
Oncologic outcomes of laparoscopic and open colectomy have been demonstrated to be equivalent, with similar three-year disease-free survival and overall survival rates for any stage. Compared to patients who undergo open colectomy, patients who undergo laparoscopic colectomy benefit from a shorter median length of hospital stay and decreased post-operative use of pain medication. Intraoperative and post-operative complications are similar between open and laparoscopic colectomy.
A Comparison of Laparoscopically Assisted and Open Colectomy for Colon Cancer. The Clinical Outcomes of Surgical Therapy Study Group. N Engl J Med 2004;350:2050-9
Colonoscopy, cross-sectional abdominopelvic imaging, and routine preoperative lab work including carcinoembryonic antigen (CEA)
Right ureter, duodenum, ileocolic pedicle, right colic artery, and right branch of middle colic arteries
Laparoscopic advantages include less post-operative pain and shorter length of stay
General concerns of bleeding, infection, anastomotic leak, and damage to nearby organs, with operative-specific injuries to the ureter, duodenum, liver, and contents of the hepatoduodenal ligament
General concerns of bleeding, infection, anastomotic leak, and damage to nearby organs, with operative-specific injuries to the ureter, duodenum, liver, and contents of the hepatoduodenal ligament
NYU Langone Medical Center
A Comparison of Laparoscopically Assisted and Open Colectomy for Colon Cancer. The Clinical Outcomes of Surgical Therapy Study Group. N Engl J Med 2004;350:2050-9.
Review Laparoscopic Right Hemicolectomy with Isoperistaltic Intracorporeal Anastomosis. Cancel reply
Related Videos
Temporal Artery Biopsy – gold standard for the diagnosis of temporal (giant cell) arteritis
As technique and technology have evolved in the modern age, surgical emphasis has shifted steadily towards minimally invasive alternatives. In colon surgery, laparoscopy has been shown to improve multiple outcome metrics, including reductions in post-operative morbidity, pain, and hospital length of stay, while maintaining surgical success rates. Unfortunately, despite the minimally invasive approach, elective laparoscopic sigmoidectomy typically requires an abdominal wall extraction site, leaving a large incision in addition to the laparoscopic port sites. It also utilizes three different types of intestinal staplers, leading to an anastomosis that may have multiple intersecting staple lines, thereby potentially influencing the anastomotic integrity, as well as increasing procedural costs substantially.
We present a case of a totally robotic sigmoidectomy utilizing a single stapler technique and natural orifice specimen extraction in a patient with multiple, severe, recurrent episodes of sigmoid diverticulitis over a 2-year period.
Disclosure/ Conflict of interest: The authors whose names are listed above certify that they have NO affiliations with or involvement in any organisation or entity with any financial interest (such as honoraria; educational grants; participation in speakers ’bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.
Review Laparoscopic Right Hemicolectomy with Isoperistaltic Intracorporeal Anastomosis.