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Clin Colon Rectal Surg 2017; 30(02): 091-098
DOI: 10.1055/s-0036-1597318
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Laparoscopy for Benign Diseases of the Colon

Radhika Smith
1   University of Chicago, Section of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida
,
David J. Maron
2   Department of Colon and Rectal Surgery, Cleveland Clinic Florida, Weston, Florida
› Author Affiliations
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Publication History

Publication Date:
04 April 2017 (online)

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Abstract

Laparoscopic surgery has revolutionized the delivery of care to the surgical patient undergoing colorectal resection. Since the first laparoscopic-assisted colectomy in 1991, significant advances have been made in minimally invasive colorectal surgery. For many benign conditions, laparoscopic colectomy has been proven to be safe and effective, and in some instances superior when compared with open surgery. Complex laparoscopic resections such as those for diverticulitis and inflammatory bowel disease have also been shown to have equivalent outcomes when compared with open surgery. Short-term benefits of a minimally invasive approach include less pain, decreased rates of wound infection and postoperative morbidity, faster return of bowel function, and shorter length of stay. Improvements in long-term complications have also been noted with lower incidence of incisional hernias and small bowel obstructions secondary to adhesions. As surgeons become more facile with laparoscopic resection, more complex cases such as those for complicated diverticulitis and reoperative surgery for inflammatory bowel disease can be completed with shorter operative times and decreased cost.

Keywords

laparoscopy - colectomy - minimally invasive surgery
 

  • References

  • 1 Fowler DL, White SA. Laparoscopy-assisted sigmoid resection. Surg Laparosc Endosc 1991; 1 (3) 183-188
    CrossrefPubMedGoogle Scholar
  • 2 Robinson CN, Chen GJ, Balentine CJ , et al. Minimally invasive surgery is underutilized for colon cancer. Ann Surg Oncol 2011; 18 (5) 1412-1418
    CrossrefPubMedGoogle Scholar
  • 3 Lesperance K, Martin MJ, Lehmann R, Brounts L, Steele SR. National trends and outcomes for the surgical therapy of ileocolonic Crohn's disease: a population-based analysis of laparoscopic vs. open approaches. J Gastrointest Surg 2009; 13 (7) 1251-1259
    CrossrefPubMedGoogle Scholar
  • 4 Tekkis PP, Senagore AJ, Delaney CP, Fazio VW. Evaluation of the learning curve in laparoscopic colorectal surgery: comparison of right-sided and left-sided resections. Ann Surg 2005; 242 (1) 83-91
    CrossrefPubMedGoogle Scholar
  • 5 Colcock BF. Diverticular Disease of the Colon. Philadelphia, PA: WB Saunders; 1971
    Google Scholar
  • 6 Rafferty J, Shellito P, Hyman NH, Buie WD ; Standards Committee of American Society of Colon and Rectal Surgeons. Practice parameters for sigmoid diverticulitis. Dis Colon Rectum 2006; 49 (7) 939-944
    CrossrefPubMedGoogle Scholar
  • 7 Parks TG. Natural history of diverticular disease of the colon. A review of 521 cases. BMJ 1969; 4 (5684) 639-642
    CrossrefPubMedGoogle Scholar
  • 8 Cirocchi R, Arezzo A, Renzi C , et al. Is laparoscopic surgery the best treatment in fistulas complicating diverticular disease of the sigmoid colon? A systematic review. Int J Surg 2015; 24 (Pt A): 95-100
    CrossrefPubMedGoogle Scholar
  • 9 Klarenbeek BR, Veenhof AA, Bergamaschi R , et al. Laparoscopic sigmoid resection for diverticulitis decreases major morbidity rates: a randomized control trial: short-term results of the Sigma Trial. Ann Surg 2009; 249 (1) 39-44
    CrossrefPubMedGoogle Scholar
  • 10 Klarenbeek BR, Bergamaschi R, Veenhof AA , et al. Laparoscopic versus open sigmoid resection for diverticular disease: follow-up assessment of the randomized control Sigma trial. Surg Endosc 2011; 25 (4) 1121-1126
    CrossrefPubMedGoogle Scholar
  • 11 Purkayastha S, Constantinides VA, Tekkis PP , et al. Laparoscopic vs. open surgery for diverticular disease: a meta-analysis of nonrandomized studies. Dis Colon Rectum 2006; 49 (4) 446-463
    CrossrefPubMedGoogle Scholar
  • 12 Senagore AJ. Laparoscopic sigmoid colectomy for diverticular disease. Surg Clin North Am 2005; 85 (1) 19-24 , vii
    CrossrefPubMedGoogle Scholar
  • 13 Senagore AJ, Duepree HJ, Delaney CP, Dissanaike S, Brady KM, Fazio VW. Cost structure of laparoscopic and open sigmoid colectomy for diverticular disease: similarities and differences. Dis Colon Rectum 2002; 45 (4) 485-490
    CrossrefPubMedGoogle Scholar
  • 14 Guller U, Jain N, Hervey S, Purves H, Pietrobon R. Laparoscopic vs open colectomy: outcomes comparison based on large nationwide databases. Arch Surg 2003; 138 (11) 1179-1186
    CrossrefPubMedGoogle Scholar
  • 15 Kasparek MS, Müller MH, Glatzle J , et al. Postoperative colonic motility in patients following laparoscopic-assisted and open sigmoid colectomy. J Gastrointest Surg 2003; 7 (8) 1073-1081 , discussion 1081
    CrossrefPubMedGoogle Scholar
  • 16 Dwivedi A, Chahin F, Agrawal S , et al. Laparoscopic colectomy vs. open colectomy for sigmoid diverticular disease. Dis Colon Rectum 2002; 45 (10) 1309-1314 , discussion 1314–1315
    CrossrefPubMedGoogle Scholar
  • 17 Lawrence DM, Pasquale MD, Wasser TE. Laparoscopic versus open sigmoid colectomy for diverticulitis. Am Surg 2003; 69 (6) 499-503 , discussion 503–504
    PubMedGoogle Scholar
  • 18 Liberman MA, Phillips EH, Carroll BJ, Fallas M, Rosenthal R. Laparoscopic colectomy vs traditional colectomy for diverticulitis. Outcome and costs. Surg Endosc 1996; 10 (1) 15-18
    CrossrefPubMedGoogle Scholar
  • 19 Otterson MF, Korus GB. Diverticular disease. In: Mulholland MW, Lillemoe KD, Doherty GM, Maier RV, Upchurch GR. Greenfield's Surgery: Scientific Principles and Practice, 4th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2005: 1131
    Google Scholar
  • 20 Hassan I, Cima RR, Larson DW , et al. The impact of uncomplicated and complicated diverticulitis on laparoscopic surgery conversion rates and patient outcomes. Surg Endosc 2007; 21 (10) 1690-1694
    CrossrefPubMedGoogle Scholar
  • 21 Pendlimari R, Touzios JG, Azodo IA , et al. Short-term outcomes after elective minimally invasive colectomy for diverticulitis. Br J Surg 2011; 98 (3) 431-435
    CrossrefPubMedGoogle Scholar
  • 22 Bartus CM, Lipof T, Sarwar CM , et al. Colovesical fistula: not a contraindication to elective laparoscopic colectomy. Dis Colon Rectum 2005; 48 (2) 233-236
    CrossrefPubMedGoogle Scholar
  • 23 Agaba EA, Zaidi RM, Ramzy P , et al. Laparoscopic Hartmann's procedure: a viable option for treatment of acutely perforated diverticulitis. Surg Endosc 2009; 23 (7) 1483-1486
    CrossrefPubMedGoogle Scholar
  • 24 Turley RS, Barbas AS, Lidsky ME, Mantyh CR, Migaly J, Scarborough JE. Laparoscopic versus open Hartmann procedure for the emergency treatment of diverticulitis: a propensity-matched analysis. Dis Colon Rectum 2013; 56 (1) 72-82
    CrossrefPubMedGoogle Scholar
  • 25 Siddiqui MR, Sajid MS, Baig MK. Open vs laparoscopic approach for reversal of Hartmann's procedure: a systematic review. Colorectal Dis 2010; 12 (8) 733-741
    PubMedGoogle Scholar
  • 26 Angenete E, Thornell A, Burcharth J , et al. Laparoscopic lavage is feasible and safe for the treatment of perforated diverticulitis with purulent peritonitis: the first results from the randomized controlled trial DILALA. Ann Surg 2016; 263 (1) 117-122
    CrossrefPubMedGoogle Scholar
  • 27 Schultz JK, Yaqub S, Wallon C , et al; SCANDIV Study Group. Laparoscopic lavage vs primary resection for acute perforated diverticulitis: the SCANDIV randomized clinical trial. JAMA 2015; 314 (13) 1364-1375
    CrossrefPubMedGoogle Scholar
  • 28 Vennix S, Musters GD, Mulder IM , et al; Ladies Trial Collaborators. Laparoscopic peritoneal lavage or sigmoidectomy for perforated diverticulitis with purulent peritonitis: a multicentre, parallel-group, randomised, open-label trial. Lancet 2015; 386 (10000) 1269-1277
    CrossrefPubMedGoogle Scholar
  • 29 Lessa FC, Mu Y, Bamberg WM , et al. Burden of Clostridium difficile infection in the United States. N Engl J Med 2015; 372 (9) 825-834
    CrossrefPubMedGoogle Scholar
  • 30 Dallal RM, Harbrecht BG, Boujoukas AJ , et al. Fulminant Clostridium difficile: an underappreciated and increasing cause of death and complications. Ann Surg 2002; 235 (3) 363-372
    CrossrefPubMedGoogle Scholar
  • 31 Longo WE, Mazuski JE, Virgo KS, Lee P, Bahadursingh AN, Johnson FE. Outcome after colectomy for Clostridium difficile colitis. Dis Colon Rectum 2004; 47 (10) 1620-1626
    CrossrefPubMedGoogle Scholar
  • 32 Sailhamer EA, Carson K, Chang Y , et al. Fulminant Clostridium difficile colitis: patterns of care and predictors of mortality. Arch Surg 2009; 144 (5) 433-439 , discussion 439–440
    CrossrefPubMedGoogle Scholar
  • 33 Synnott K, Mealy K, Merry C, Kyne L, Keane C, Quill R. Timing of surgery for fulminating pseudomembranous colitis. Br J Surg 1998; 85 (2) 229-231
    CrossrefPubMedGoogle Scholar
  • 34 Neal MD, Alverdy JC, Hall DE, Simmons RL, Zuckerbraun BS. Diverting loop ileostomy and colonic lavage: an alternative to total abdominal colectomy for the treatment of severe, complicated Clostridium difficile associated disease. Ann Surg 2011; 254 (3) 423-427 , discussion 427–429
    CrossrefPubMedGoogle Scholar
  • 35 Andrews HA, Lewis P, Allan RN. Prognosis after surgery for colonic Crohn's disease. Br J Surg 1989; 76 (11) 1184-1190
    CrossrefPubMedGoogle Scholar
  • 36 Benoist S, Panis Y, Beaufour A, Bouhnik Y, Matuchansky C, Valleur P. Laparoscopic ileocecal resection in Crohn's disease: a case-matched comparison with open resection. Surg Endosc 2003; 17 (5) 814-818
    CrossrefPubMedGoogle Scholar
  • 37 Alabaz O, Iroatulam AJ, Nessim A, Weiss EG, Nogueras JJ, Wexner SD. Comparison of laparoscopically assisted and conventional ileocolic resection for Crohn's disease. Eur J Surg 2000; 166 (3) 213-217
    CrossrefPubMedGoogle Scholar
  • 38 Young-Fadok TM, HallLong K, McConnell EJ, Gomez Rey G, Cabanela RL. Advantages of laparoscopic resection for ileocolic Crohn's disease. Improved outcomes and reduced costs. Surg Endosc 2001; 15 (5) 450-454
    CrossrefPubMedGoogle Scholar
  • 39 Milsom JW, Hammerhofer KA, Böhm B, Marcello P, Elson P, Fazio VW. Prospective, randomized trial comparing laparoscopic vs. conventional surgery for refractory ileocolic Crohn's disease. Dis Colon Rectum 2001; 44 (1) 1-8 , discussion 8–9
    CrossrefPubMedGoogle Scholar
  • 40 Stocchi L, Milsom JW, Fazio VW. Long-term outcomes of laparoscopic versus open ileocolic resection for Crohn's disease: follow-up of a prospective randomized trial. Surgery 2008; 144 (4) 622-627 , discussion 627–628
    CrossrefPubMedGoogle Scholar
  • 41 Maartense S, Dunker MS, Slors JF , et al. Laparoscopic-assisted versus open ileocolic resection for Crohn's disease: a randomized trial. Ann Surg 2006; 243 (2) 143-149 , discussion 150–153
    CrossrefPubMedGoogle Scholar
  • 42 Wu JS, Birnbaum EH, Kodner IJ, Fry RD, Read TE, Fleshman JW. Laparoscopic-assisted ileocolic resections in patients with Crohn's disease: are abscesses, phlegmons, or recurrent disease contraindications?. Surgery 1997; 122 (4) 682-688 , discussion 688–689
    CrossrefPubMedGoogle Scholar
  • 43 Goyer P, Alves A, Bretagnol F, Bouhnik Y, Valleur P, Panis Y. Impact of complex Crohn's disease on the outcome of laparoscopic ileocecal resection: a comparative clinical study in 124 patients. Dis Colon Rectum 2009; 52 (2) 205-210
    CrossrefPubMedGoogle Scholar
  • 44 Telem DA, Vine AJ, Swain G , et al. Laparoscopic subtotal colectomy for medically refractory ulcerative colitis: the time has come. Surg Endosc 2010; 24 (7) 1616-1620
    CrossrefPubMedGoogle Scholar
  • 45 Marceau C, Alves A, Ouaissi M, Bouhnik Y, Valleur P, Panis Y. Laparoscopic subtotal colectomy for acute or severe colitis complicating inflammatory bowel disease: a case-matched study in 88 patients. Surgery 2007; 141 (5) 640-644
    CrossrefPubMedGoogle Scholar
  • 46 Chung TP, Fleshman JW, Birnbaum EH , et al. Laparoscopic vs. open total abdominal colectomy for severe colitis: impact on recovery and subsequent completion restorative proctectomy. Dis Colon Rectum 2009; 52 (1) 4-10
    CrossrefPubMedGoogle Scholar
  • 47 Schmitt SL, Cohen SM, Wexner SD, Nogueras JJ, Jagelman DG. Does laparoscopic-assisted ileal pouch anal anastomosis reduce the length of hospitalization?. Int J Colorectal Dis 1994; 9 (3) 134-137
    CrossrefPubMedGoogle Scholar
  • 48 Schiessling S, Leowardi C, Kienle P , et al. Laparoscopic versus conventional ileoanal pouch procedure in patients undergoing elective restorative proctocolectomy (LapConPouch Trial)-a randomized controlled trial. Langenbecks Arch Surg 2013; 398 (6) 807-816
    CrossrefPubMedGoogle Scholar
  • 49 Ahmed Ali U, Keus F, Heikens JT , et al. Open versus laparoscopic (assisted) ileo pouch anal anastomosis for ulcerative colitis and familial adenomatous polyposis. Cochrane Database Syst Rev 2009; (1) CD006267
    PubMedGoogle Scholar
  • 50 Larson DW, Dozois EJ, Piotrowicz K, Cima RR, Wolff BG, Young-Fadok TM. Laparoscopic-assisted vs. open ileal pouch-anal anastomosis: functional outcome in a case-matched series. Dis Colon Rectum 2005; 48 (10) 1845-1850
    CrossrefPubMedGoogle Scholar
  • 51 Bell RL, Seymour NE. Laparoscopic treatment of fulminant ulcerative colitis. Surg Endosc 2002; 16 (12) 1778-1782
    CrossrefPubMedGoogle Scholar
  • 52 Makino T, Milsom JW, Lee SW. Feasibility and safety of single-incision laparoscopic colectomy: a systematic review. Ann Surg 2012; 255 (4) 667-676
    CrossrefPubMedGoogle Scholar
  • 53 Vasilakis V, Clark CE, Liasis L, Papaconstantinou HT. Noncosmetic benefits of single-incision laparoscopic sigmoid colectomy for diverticular disease: a case-matched comparison with multiport laparoscopic technique. J Surg Res 2013; 180 (2) 201-207
    CrossrefPubMedGoogle Scholar
  • 54 Zhou YM, Wu LP, Zhao YF, Xu DH, Li B. Single-incision versus conventional laparoscopy for colorectal disease: a meta-analysis. Dig Dis Sci 2012; 57 (8) 2103-2112
    CrossrefPubMedGoogle Scholar
  • 55 Moloo H, Haggar F, Coyle D , et al. Hand assisted laparoscopic surgery versus conventional laparoscopy for colorectal surgery. Cochrane Database Syst Rev 2010; (10) CD006585
    PubMedGoogle Scholar
  • 56 Bruce CJ, Coller JA, Murray JJ, Schoetz Jr DJ, Roberts PL, Rusin LC. Laparoscopic resection for diverticular disease. Dis Colon Rectum 1996; 39 (10 Suppl): S1-S6
    CrossrefPubMedGoogle Scholar
  • 57 Liberman MA, Phillips EH, Carroll BJ, Fallas M, Rosenthal R. Laparoscopic colectomy vs. traditional colectomy for diverticulitis. Outcome and costs. Surg Endosc 1996; 10 (1) 15-18
    CrossrefPubMedGoogle Scholar
  • 58 Kohler L, Rixen D, Troidl H. Laparoscopic colorectal resection for diverticulitis. Int J Colorectal Dis 1998; 13 (1) 43-47
    CrossrefPubMedGoogle Scholar
  • 59 Araki Y, Ishibashi N, Ogata Y, Shirouzu K, Isomoto H. The usefulness of restorative laparoscopic-assisted total colectomy for ulcerative colitis. Kurume Med J 2001; 48 (2) 99-103
    CrossrefPubMedGoogle Scholar
  • 60 Berdah SV, Barthet M, Emungania O , et al. Two stage videoassisted restorative proctocolectomy. Early experience of 12 cases. Annal Chirurgie 2004; 129 (6–7): 332-336
    PubMedGoogle Scholar
  • 61 Brown SR, Eu KW, Seow-Choen F. Consecutive series of laparoscopic-assisted vs. minilaparotomy restorative proctocolectomies. Dis Colon Rectum 2001; 44 (3) 397-400
    CrossrefPubMedGoogle Scholar
  • 62 Dunker MS, Bemelman WA, Slors JF, van Duijvendijk P, Gouma DJ. Functional outcome, quality of life, body image, and cosmesis in patients after laparoscopic-assisted and conventional restorative proctocolectomy: a comparative study. Dis Colon Rectum 2001; 44 (12) 1800-1807
    CrossrefPubMedGoogle Scholar
  • 63 Hashimoto A, Funayama Y, Naito H , et al. Laparoscope-assisted versus conventional restorative proctocolectomy with rectal mucosectomy. Surg Today 2001; 31 (3) 210-214
    CrossrefPubMedGoogle Scholar
  • 64 Larson DW, Cima RR, Dozois EJ , et al. Safety, feasibility, and short-term outcomes of laparoscopic ileal-pouch-anal anastomosis: a single institutional case-matched experience. Ann Surg 2006; 243 (5) 667-670
    CrossrefPubMedGoogle Scholar
  • 65 Maartense S, Dunker MS, Slors JF , et al. Hand-assisted laparoscopic versus open restorative proctocolectomy with ileal pouch anal anastomosis: a randomized trial. Annal Surg 240 (6) 984-991
    PubMedGoogle Scholar
  • 66 Marcello PW, Milsom JW, Wong SK , et al. Laparoscopic restorative proctocolectomy: case-matched comparative study with open restorative proctocolectomy. Dis Colon Rectum 2000; 43 (5) 604-608
    CrossrefPubMedGoogle Scholar