Three-trocar laparoscopic sigmoidectomy with transanal extraction for diverticulitis and endometriosis

Elective laparoscopic sigmoidectomy for diverticulitis is feasible and safe. The complication and mortality rates are similar to those observed after open procedures. In this lecture, Professor Ambrosetti presents the current indications for elective surgery for diverticular disease.

The video entitled "Complicated sigmoiditis with sigmoido-vaginal fistula: laparoscopic management with Natural Orifice Specimen Extraction (NOSE)” authored by J Leroy, L Marx, J Marescaux is analyzed by Dr. Barry Salky, MD, FACS (Mount Sinai Medical Center, New York, USA) sharing in this way his own personal experience and highlighting the different surgical approaches available with tips and tricks.

Large colonic polyps and those on or behind a haustral fold can be very challenging to remove. EMR and ESD are performed for such polyps. In some selected cases, a combined endoscopic and laparoscopic approach (CELS) can be performed. In this lecture, Dr. Marcello outlines this approach.

This recording of a live case reveals all the key technical steps in laparoscopic revision of an anastomotic stenosis following a prior sigmoidectomy.

In this live interactive surgery, Dr. Serra-Aracil presents a laparoscopic sigmoid resection for recurrent complicated sigmoid diverticulitis.

This video demonstrates the laparoscopic single port restoration of bowel continuity after Hartmann’s procedure. The key steps of the operation —namely stoma removal, preparation of the descending colon, dissection and recut of the rectal stump, and trans-sutural colorectal anastomosis— are demonstrated and described in the video. The original aspect of this technique is that the authors carry out the reversal Hartmann procedure using a single port introduced into the stoma site.

In this video, we show the case of a 70-year-old male patient who had several attacks during the last weeks, abdominal pain, and fever. After CT-scan, he was diagnosed a perisigmoid abscess. We diagnosed a lot of diverticula and we made a diagnosis of sigmoiditis with perisigmoid abscess. So this is the Hinchey II two pelvic abscess. We began the medical treatment and finally we had several attacks and did a new examination, a new CT-scan, and an endoscopy and not a sigmoid abscess, but a voluminous diverticulum with an abscess, was diagnosed. So it was decided to operate on the patient.