Long-Term Functional Results of a Modified Caudal-to-Cranial Approach in Laparoscopic Segmental Left Colectomy for Diverticular Disease

Autor: Michele Manigrasso, Marcella Pesce, Marco Milone, Pietro Anoldo, Anna D’Amore, Giovanni Galasso, Nicola Gennarelli, Francesco Maione, Sara Vertaldi, Giovanni Sarnelli, Giovanni Domenico De Palma
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Gastroenterology Research and Practice, Vol 2021 (2021)
Druh dokumentu: article
ISSN: 1687-6121
1687-630X
DOI: 10.1155/2021/8940682
Popis: A modified caudal-to-cranial approach to perform laparoscopic left colectomy for benign diseases has been recently designed to facilitate the low-tie mesenteric dissection. A chart review has been performed including all consecutive patients with uncomplicated diverticulitis who have been treated by segmental left colectomy with a caudal-to-cranial approach. A total of 34 patients were included in the study. 21 patients were male, mean age was 54.1±11.3, and mean BMI was 26±5.5. Patients with ASA Score I were 7, with ASA II were 9, and with ASA Score III were 5. Incontinence Score (IS) resulted in an average of 5±2,2 grade of incontinence and the CS score showed an average of 10±3,2 grade of constipation. Health status, evaluated by Short Form-36 questionnaire, was demonstrated in these patients’ great physical function, role, general health, and social function. The anorectal manometry performed 6 months after surgery showed a normal value in terms of the anal resting pressure (47±13 mmHg) and an increased volume to stimulate desire to defecate (197±25 ml). The length of the anal sphincter was normal compared to the reference value (37±5.4 mm). Although further studies are required to obtain definitive conclusions, our results are encouraging to propose low-tie segmental colectomy as the standard procedure for the treatment of uncomplicated diverticulitis, and our modified surgical approach could be considered useful to facilitate the surgical approach.
Databáze: Directory of Open Access Journals
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