Hand-assisted laparoscopic sigmoidectomy in the management of fistulas secondary to complicated diverticular disease. A safe alternative

Carlos Belmonte Montes; Víctor Hugo Guerrero Guerrero; Javier Pérez Aguirre; Carlos Cosme Reyes; Patricio Fernández Domínguez

2009, Number 3

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Cir Gen 2009; 31 (3)

Hand-assisted laparoscopic sigmoidectomy in the management of fistulas secondary to complicated diverticular disease. A safe alternative

Belmonte MC, Guerrero GVH, Pérez AJ, Cosme RC, Fernández DP

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Language: Spanish
References: 27
Page: 175-179
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ABSTRACT

Objective: To describe the experience of the authors in the use of hand-assisted laparoscopic sigmoidectomy in the management of fistulas secondary to complicated diverticular disease. Setting: Public and private tertiary medical institutions in Mexico City, Mexico. Design: Retrospective and observational. Statistical analysis: Percentages as summary measure for qualitative variables. Patients and methods: Patients subjected to hand-assisted laparoscopic sigmoidectomty (HALS) complicated diverticular disease. Variables were: age, gener, diagnosis, surgical procedure, surgical time, conversion to open technique, time of oral feeding start, as well as of in-hospital stay, complications, and mortality. Results: We performed 25 sigmoidectomies and 2 urinary vesicle repairs. Average surgical time was 128 min (95-260) and oral feeding was started at 48 h (24-72). No conversion to open surgery were made. In-hospital stay averaged 5 days (4 to 8). No surgical death occurred. Conclusion: HALS for fistulas due to complicated diverticular disease is save, retains the benefits of minimally invasive surgery and allows resolving more complicated cases, without conversion.

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