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SAGES masters program: the top 10 seminal articles for the laparoscopic left and sigmoid colectomy pathway for complex disease

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Abstract

Background

The SAGES University Colorectal Masters Program is a structured educational curriculum that is designed to aid practicing surgeons develop and maintain knowledge and technical skills for laparoscopic colorectal surgery. The Colorectal Pathway is based on three anchoring procedures (laparoscopic right colectomy, laparoscopic left and sigmoid colectomy for uncomplicated and complex disease, and intracorporeal anastomosis for minimally invasive right colectomy) corresponding to three levels of performance (competency, proficiency and mastery). This manuscript presents focused summaries of the top 10 seminal articles selected for laparoscopic left and sigmoid colectomy for complex benign and malignant disease.

Methods

A systematic literature search of Web of Science for the most cited articles on the topic of laparoscopic complex left/sigmoid colectomy yielded 30 citations. These articles were reviewed and ranked by the SAGES Colorectal Task Force and invited subject experts according to their citation index. The top 10 ranked articles were then reviewed and summarized, with emphasis on relevance and impact in the field, study findings, strength and limitations and conclusions.

Results

The top 10 seminal articles selected for the laparoscopic left/sigmoid colectomy for complex disease anchoring procedure include advanced procedures such as minimally invasive splenic flexure mobilization techniques, laparoscopic surgery for complicated and/or diverticulitis, splenic flexure tumors, complete mesocolic excision, and other techniques (e.g., Deloyers or colonic transposition in cases with limited colonic reach after extended left-sided resection).

Conclusions

The SAGES Colorectal Masters Program top 10 seminal articles selected for laparoscopic left and sigmoid colectomy for complex benign and malignant disease anchoring procedure are presented. These procedures were the most essential in the armamentarium of practicing surgeons that perform minimally invasive surgery for complex left and sigmoid colon pathology.

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Authors and Affiliations

  1. McGill University Health Centre, 1001 Decarie Boulevard, DS1-3310, Montreal, QC, H4A 3J1, Canada

    L. Lee

  2. Mayo Clinic Arizona, Phoenix, AZ, USA

    T. Young-Fadok

  3. University of Michigan, Ann Arbor, MI, USA

    J. Byrn

  4. University of Rochester Medical Center, Rochester, NY, USA

    L. Cannon

  5. University Hospitals, Cleveland, OH, USA

    M. Costedio

  6. Cleveland Clinic, Cleveland, OH, USA

    C.P. Delaney

  7. University of Virginia, Charlottesville, VA, USA

    T. Hedrick

  8. Texas Tech Health Sciences Center, Amarillo, TX, USA

    I. Obokhare

  9. Houston Methodist Hospital, Houston, TX, USA

    E. Haas

  10. St. Francis Hospital, Long Island, NY, USA

    D. Popowich

  11. Mount Sinai Hospital, New York, NY, USA

    P. Sylla

Authors
  1. L. Lee
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  2. T. Young-Fadok
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  3. J. Byrn
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  4. L. Cannon
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  5. M. Costedio
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  6. C.P. Delaney
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  7. T. Hedrick
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  8. I. Obokhare
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  9. E. Haas
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  10. D. Popowich
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  11. P. Sylla
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Consortia

on behalf of the members of the SAGES Colorectal Committee – Proficiency in Laparoscopic Left and Sigmoid Colectomy for Complex Disease subcommittee

Corresponding author

Correspondence to L. Lee.

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Disclosures

Dr. Lee received an investigator-initiated research grant and speaker fees from Johnson & Johnson. Dr. Young-Fadok is on the board of ERAS USA, SAGES, ISDS, and the International ERAS Society. Dr. Hedrick received a research grant from Apple and consulting fees from Ethicon. Dr. Popowich reports consulting fees from Boehringer and Bard. Dr Sylla reports consulting fees from Stryker, Ethicon, Medtronic, Olympus, RedDress, Safeheal, and GI Windows. Drs. Byrn, Cannon, Costedio, Delaney, Obokhare, and Haas report no disclosures.

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Lee, L., Young-Fadok, T., Byrn, J. et al. SAGES masters program: the top 10 seminal articles for the laparoscopic left and sigmoid colectomy pathway for complex disease. Surg Endosc 37, 2538–2547 (2023). https://doi.org/10.1007/s00464-023-09965-0

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  • DOI: https://doi.org/10.1007/s00464-023-09965-0

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