Diverticulitis complicated by diffuse purulent or fecal peritonitis should be treated surgically. This treatment usually consists of a sigmoid colon resection with or without primary anastomosis, depending on the general condition of the patient and the quality of the tissue. Technical difficulties arise when this type of surgery is approached laparoscopically, leading to a high percentage of patients undergoing upfront open surgery or being converted to laparotomy after initial laparoscopic exploration. In our experience, the robotic platform allows a minimally invasive approach in the emergency setting, with a conversion rate lower than laparoscopy, similar as documented for oncological resections. The current chapter presents the authors' personal step-by-step approach for surgical treatment of acute complicated diverticulitis using the robotic platform to perform emergency sigmoid colon resection with primary anastomosis or a Hartmann's resection. The detailed description of each operative step allows to adjust the chronology according to each specific case. Several tips and tricks to deal with difficulties during surgery, such as identification of the ureter, difficult mobilization of the splenic flexure, and presence of an inflammatory mass, are addressed.

Originele taal-2English
TitelRobotic Colorectal Surgery
SubtitelComplete Manual of Surgical Techniques
RedacteurenPeter Coyne, Jim Khan
Aantal pagina's13
ISBN van elektronische versie978-3-031-15198-9
ISBN van geprinte versie978-3-031-15197-2
StatusPublished - 1 jan 2022

Bibliografische nota

Publisher Copyright:
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.


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