Лапароскопическая резекция сигмовидной кишки по поводу острого дивертикулита с трансанальным извлечением кишки

Dr. Michael LI (Pamela Youde Nethersole Eastern Hospital, Hong Kong) demonstrates his approach to laparoscopic sigmoidectomy in a case of sigmoid diverticulitis with an audience made up of renowned experts in colorectal surgery. Discussions around appropriate strategies for the management of non-oncologic disease between the operating surgeon and the experts are moderated by Professor Nicolas Demartines (Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland). A brand-new dissecting instrument, the Sonicision™ cordless ultrasonic dissection device (Covidien, Valleylab) is also used during specific steps of the procedure.

The objective of this film is to show the possibilities of the laparoscopic approach after percutaneous treatment of a pelvic abscess on a perforated sigmoid diverticulitis. After exploration of the abdominal cavity, the author demonstrates the interest of using new energy devices for the dissection of inflammatory tissues.

The objective of this video is to demonstrate the laparoscopic management of complicated sigmoiditis. A persisting chronic abscess between the sigmoid loop and the bladder does not represent a contraindication to this minimally invasive approach. The authors outline the different technical points that will allow to resect the rectosigmoid and control the abscessed area as well as the bladder wall.

The video entitled "Hinchey II sigmoid diverticulitis with chronic abscess and sigmoidovesical fistula in a male patient: laparoscopic management", authored by J Leroy, D Ntourakis, D Mutter, and J Marescaux is analyzed by 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.

In this interactive live video, Dr. Melani briefly demonstrates the main principles, technical aspects, and key steps of a laparoscopic sigmoidectomy in a 34-year-old male patient presenting with diverticulitis. He describes the key maneuvers for correct plane dissection, mesenteric dissection preserving the vessels and the ureter, mobilization of colon, the EEA (end-to-end anastomosis) stapler technique, as well as complications. Dr. Melani also mentions his personal experience.