Laparoscopic sigmoidectomy for acute diverticulitis (Hinchey stage IIb)
Epublication WebSurg.com, Nov 2008;08(11). URL: http://websurg.com/doi/vd01en2399
This video presents the laparoscopic treatment of a perforated acute diverticulitis of the sigmoid colon. The patient has a Hinchey stage IIb peritonitis. Because of a stable clinical presentation, a laparoscopic treatment was offered. The cavity of the abscess is opened and cleaned. Local inflammation makes the dissection planes more difficult to define and the progression of the mobilization can be challenging. A sigmoidectomy is then carried out with a primary anastomosis.