Abstract
The severity of complicated diverticulitis includes a broad spectrum of diseases and is classified according to the Hinchey classification system [1]:
-
Stage I: pericolic abscess, confined to the mesentery of the colon, usually responsive to conservative management, with a radiological drainage in the case of an abscess larger than 5 cm;
-
Stage II: distant abscess amenable to percutaneous drainage (Stage IIa) or complex and multiple abscesses with or without a digestive fistula (Stage IIb);
-
Stage III: diffuse purulent peritonitis;
-
Stage IV: diffuse fecal peritonitis;
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Hinchey EJ, Schaal PG, Richards GK (1978) Treatment of perforated diverticular disease of the colon. Adv Surg 12:85–109
Mutter D, Marescaux J (2013) Appendicitis/diverticulitis: minimally invasive surgery. Dig Dis 31:76–82
Agresta F, Ansaloni L, Baiocchi GL et al (2012) Laparoscopic approach to acute abdomen from the Consensus Development Conference of the Societa Italiana di Chirurgia Endoscopica e nuove tecnologie (SICE), Associazione Chirurghi Ospedalieri Italiani (ACOI), Societa Italiana di Chirurgia (SIC), Societa Italiana di Chirurgia d’Urgenza e del Trauma (SICUT), Societa Italiana di Chirurgia nell’Ospedalita Privata (SICOP), and the European Association for Endoscopic Surgery (EAES). Surg Endosc 26:2134–2164
Zdichavsky M, Granderath FA, Blumenstock G et al (2010) Acute laparoscopic intervention for diverticular disease (AIDD): a feasible approach. Langenbecks Arch Surg 395:41–48
Cirocchi R, Cochetti G, Randolph J et al (2014) Laparoscopic treatment of colovesical fistulas due to complicated colonic diverticular disease: a systematic review. Tech Coloproctol doi:10.1007/s10151-014-1157-5
Klarenbeek BR, Veenhof AA, Bergamaschi R et al (2009) Laparoscopic sigmoid resection for diverticulitis decreases major morbidity rates: a randomized control trial: short-term results of the Sigma Trial. Ann Surg 249:39–44
Alves A, Panis Y, Slim K et al (2005) French multicentre prospective observational study of laparoscopic versus open colectomy for sigmoid diverticular disease. Br J Surg 92:1520–1525
Ragupathi M, Ramos-Valadez DI, Patel CB et al (2011) Robotic-assisted laparoscopic surgery for recurrent diverticulitis: experience in consecutive cases and a review of the literature. Surg Endosc 25:199–206
Purkayastha S, Constantinides VA, Tekkis PP et al (2006) Laparoscopic vs. open surgery for diverticular disease: a meta-analysis of nonrandomized studies. Dis Colon Rectum 49:446–463
Maciel V, Lujan HJ, Plasencia G et al (2014) Diverticular disease complicated with colovesical fistula: laparoscopic versus robotic management. Int Surg 99:203–210
Guillou PJ, Quirke P, Thorpe H et al (2005) Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial. Lancet 365:1718–1726
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer-Verlag Italia
About this chapter
Cite this chapter
Spinoglio, G., Formisano, G., Pagliardi, F., Ravazzoni, F., Marano, A. (2015). Robotic Surgery for Complicated Diverticulitis. In: Spinoglio, G. (eds) Robotic Surgery. Updates in Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-5714-2_17
Download citation
DOI: https://doi.org/10.1007/978-88-470-5714-2_17
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-5713-5
Online ISBN: 978-88-470-5714-2
eBook Packages: MedicineMedicine (R0)