Laparoscopic Colon Resection for Diverticulitis
Contact Our Manhattan Colorectal Surgeons
Colonic diverticuli are small outpouching of the colonic wall that most
commonly occur of the left side of the abdomen in the sigmoid colon. Diverticulitis
is inflammation of the colon resulting from blockage of a colonic diverticuli.
Patients with diverticulitis may have symptoms including:
- Left-sided abdominal pain
- Change in bowel habits
In select patients, colon resection may be performed laparoscopically using
small incisions and specially designed instruments. The benefits of a
laparoscopic colon resection for diverticulitis may include decreased
postoperative pain and improved cosmesis.
The first step in diagnosing diverticulitis is a history and physical examination.
Other studies that may be done include blood tests and plain abdominal
X-rays. A CT scan of the abdomen and pelvis often is used to make the
diagnosis, as well as identify complications of diverticulitis (such as
abscess, obstruction, or fistula). Following recovery from an attack of
diverticulitis, a colonoscopy is often performed to evaluate the large
intestine for other lesions, such as colon cancer.
The treatment of diverticulitis varies based upon the severity of the attack.
- Oral antibiotics, consumption of a liquid diet, and rest at home for mild attacks
- Hospitalization with intravenous antibiotics for more severe attacks
- If there is an associated abscess, drainage using CT scan guidance may
- For severe cases, immediate surgery may be undertaken
- Elective surgery is based upon the age and clinical appearance, as well
as the severity of the attack
Laparoscopic colon resection for diverticulitis is often performed to treat
an acute flare of the disease, prevent recurrence of the disease, or to
treat complication. Using the laparoscope (camera) your surgeon will remove
the segment of colon with diverticulitis through several small incisions.
After anesthesia is established, small incisions are made in your abdomen
and the colon containing the cancer will be identified using the laparoscope.
Using specially designed laparoscopic instruments, the segment of colon
with diverticulitis will be removed, and the two ends reconnected. Rarely,
a stoma is performed to maximize the safety of the operation for you.
Following a colon resection, you will receive pain medication and intravenous
fluid. You may receive antibiotics. Once bowel function returns, as evidenced
by passage of gas or stool, your diet will be advanced. Once you tolerate
a diet, and have no signs of fever or other complications of the surgery,
you will be discharged from the hospital. You will be given a prescription
for pain medication. In the 1-2 weeks following surgery, you will see
your surgeon for a follow-up appointment.
It’s important that you speak with a skilled Manhattan colorectal
contacting Manhattan Surgical Associates online or calling 646.798.4606.