Sigmoid Colectomy

  • Laura E. Fischer
  • Charles P. HeiseEmail author


Sigmoid colectomy is the removal of the sigmoid colon for any benign or malignant indication, including diverticulitis, volvulus, rectal prolapse, trauma, or malignancy. The procedure can be performed with either an open or laparoscopic approach depending on patient factors and surgeon experience. Potential advantages of a laparoscopic approach include faster recovery and a shorter hospital stay while remaining equivalent to open surgery in terms of oncologic outcomes. Currently, alternative methods including robotic and single site procedures are being further investigated.


Sigmoid Colectomy Anastomosis Laparoscopy Stapled Diverticulitis Volvulus Colon cancer 


  1. 1.
    Bordeianou L, Hodin R. Controversies in the surgical management of sigmoid diverticulitis. J Gastrointest Surg. 2007;11:542–8.PubMedCentralCrossRefPubMedGoogle Scholar
  2. 2.
    Hinchey EJ, Schaal PGH, Richards GK. Treatment of perforated diverticular disease of the colon. Adv Surg. 1978;12:85–109.PubMedGoogle Scholar
  3. 3.
    Feingold D, Steele SR, Lee S, Kaiser A, Boushey R, Buie WD, Rafferty JF. Practice parameters for the treatment of sigmoid diverticulitis. Dis Colon Rectum. 2014;57:284–94.CrossRefPubMedGoogle Scholar
  4. 4.
    De Magistris L, Azagra JS, Georgen M, De Blasi V, Arru L, Facy O. Laparoscopic sigmoidectomy in moderate and severe diverticulitis: analysis of short-term outcomes in a continuous series of 121 patients. Surg Endosc. 2013;27:1766–71.CrossRefPubMedGoogle Scholar
  5. 5.
    Halabi WJ, Jafari MD, Kang CY, Nguyen VQ, Carmichael JC, Mills S, Pigazzi A, Stamos MJ. Colonic volvulus in the United States: trends, outcomes, and predictors of mortality. Ann Surg. 2014;259:293–301.CrossRefPubMedGoogle Scholar
  6. 6.
    Bordeianou L, Hicks CW, Kaiser AM, Alavi K, Sudan R, Wise PE. Rectal prolapse: an overview of clinical features, diagnosis, and patient-specific management strategies. J Gastrointest Surg. 2014;18:1059–69.CrossRefPubMedGoogle Scholar
  7. 7.
    Rees M, Tekkis P, Welsh FKS, O’Rourke T, John TG. Evaluation of long-term survival after hepatic resection for metastatic colorectal cancer: a multifactorial model of 929 patients. Ann Surg. 2008;247(1):125–35.CrossRefPubMedGoogle Scholar
  8. 8.
    Hinojosa MW, Murrell ZA, Konyalian VR, Mills S, Nguyen NT, Stamos MJ. Comparison of laparoscopic vs open sigmoid colectomy for benign and malignant disease at academic medical centers. J Gastrointest Surg. 2007;11:1423–30.CrossRefPubMedGoogle Scholar
  9. 9.
    Liang JT, Huang KC, Lai HS, Lee PH, Jeng YM. Oncologic results of laparoscopic versus conventional open surgery for stage II and III left-sided colon cancers: a randomized controlled trial. Ann Surg Oncol. 2007;14(1):109–17.CrossRefPubMedGoogle Scholar
  10. 10.
    Makino T, Milsom JW, Lee SW. Feasibility and safety of a single-incision laparoscopic colectomy: a systematic review. Ann Surg. 2012;255(4):667–76.CrossRefPubMedGoogle Scholar
  11. 11.
    Fry DE. Colon preparation and surgical site infection. Am J Surg. 2011;202:225–32.CrossRefPubMedGoogle Scholar
  12. 12.
    Contant CM, Hop WC, van’t Sant HP, Oostvogel HJ, Smeets HJ, Stassen LP, Neijenhuis PA, Idenburg FJ, Dijkhuis CM, Heres P, van Tets WF, Gerritsen JJ, Weidema WF. Mechanical bowel preparation for elective colorectal surgery: a multicentre randomised trial. Lancet. 2007;370:2112–7.CrossRefPubMedGoogle Scholar
  13. 13.
    Guenaga KF, Matos D, Wille-Jorgensen P. Mechanical bowel preparation for elective colorectal surgery. Cochrane Database Syst Rev. 2011;9:1–56.Google Scholar
  14. 14.
    Halabi WJ, Jafari MD, Nguyen VQ, Carmichael JC, Mills S, Stamos MJ, Pigazzi A. A nationwide analysis of the use and outcomes of epidural analgesia in open colorectal surgery. J Gastrointest Surg. 2013;17:1130–7.CrossRefPubMedGoogle Scholar
  15. 15.
    Nelson RL, Gladman E, Barbateskovic M. Antimicrobial prophylaxis for colorectal surgery. Cochrane Database Syst Rev. 2014;5:1–262.Google Scholar
  16. 16.
    Docherty JG, McGregor JR, Akyol AM, Murray GD, Galloway DJ. Comparison of manually constructed and stapled anastomoses in colorectal surgery. West of Scotland and Highland Anastomosis Study Group. Ann Surg. 1995;221:176–84.PubMedCentralCrossRefPubMedGoogle Scholar
  17. 17.
    Lewis SJ, Egger M, Sylvester PA, Thomas S. Early enteral feeding versus “nil by mouth” after gastrointestinal surgery: systematic review and meta-analysis of controlled trials. BMJ. 2001;323:1–5.CrossRefGoogle Scholar
  18. 18.
    Andersen HK, Lewis SJ, Thomas S. Early enteral nutrition within 24h of colorectal surgery versus later commencement of feeding for postoperative complications. Cochrane Database Syst Rev. 2006;4:1–31.Google Scholar
  19. 19.
    Beard TL, Leslie JB, Nemeth J. The opioid component of delayed gastrointestinal recovery after bowel resection. J Gastrointest Surg. 2011;15:1259–68.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Department of SurgeryUniversity of WisconsinMadisonUSA
  2. 2.Department of SurgeryUniversity of Wisconsin School of Medicine and Public HealthMadisonUSA

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