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Robotic Surgery for Complicated Diverticulitis

  • Giuseppe SpinoglioEmail author
  • Giampaolo Formisano
  • Francesca Pagliardi
  • Ferruccio Ravazzoni
  • Alessandra Marano
Chapter
Part of the Updates in Surgery book series (UPDATESSURG)

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;

Keywords

Robotic Group Complicated Diverticulitis Complicated Diverticular Disease Radiological Drainage Hinchey Stage 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Hinchey EJ, Schaal PG, Richards GK (1978) Treatment of perforated diverticular disease of the colon. Adv Surg 12:85–109PubMedGoogle Scholar
  2. 2.
    Mutter D, Marescaux J (2013) Appendicitis/diverticulitis: minimally invasive surgery. Dig Dis 31:76–82PubMedCrossRefGoogle Scholar
  3. 3.
    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 26:2134–2164PubMedCrossRefGoogle Scholar
  4. 4.
    Zdichavsky M, Granderath FA, Blumenstock G et al (2010) Acute laparoscopic intervention for diverticular disease (AIDD): a feasible approach. Langenbecks Arch Surg 395:41–48PubMedCrossRefGoogle Scholar
  5. 5.
    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/s10151-014-1157-5Google Scholar
  6. 6.
    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 249:39–44PubMedCrossRefGoogle Scholar
  7. 7.
    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 92:1520–1525PubMedCrossRefGoogle Scholar
  8. 8.
    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 25:199–206PubMedCrossRefGoogle Scholar
  9. 9.
    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 49:446–463PubMedCrossRefGoogle Scholar
  10. 10.
    Maciel V, Lujan HJ, Plasencia G et al (2014) Diverticular disease complicated with colovesical fistula: laparoscopic versus robotic management. Int Surg 99:203–210PubMedCrossRefGoogle Scholar
  11. 11.
    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 365:1718–1726PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2015

Authors and Affiliations

  • Giuseppe Spinoglio
    • 1
    Email author
  • Giampaolo Formisano
  • Francesca Pagliardi
  • Ferruccio Ravazzoni
  • Alessandra Marano
  1. 1.Department of General and Oncologic Surgery“Ss. Antonio e Biagio” HospitalAlessandriaItaly

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