Laparoscopic Sigmoidectomy: Indications, Procedure, and Advantages

Procedure

Minimally invasive removal of the sigmoid colon (between descending colon and rectum) via small abdominal incisions, camera, and specialized instruments. Remaining colon ends are reconnected (anastomosis).

Common Indications

  1. Diverticular Disease: Complicated or persistent diverticulitis.
  2. Colorectal Cancer: Cancerous segment removal with margins.
  3. Perforation or Obstruction: Torn or blocked sigmoid colon.
  4. Severe Bleeding: Uncontrolled hemorrhage from sigmoid colon.
  5. Inflammatory Bowel Disease: Severe ulcerative colitis or Crohn's disease affecting sigmoid.

Advantages Over Open Surgery

  • Reduced pain and scarring
  • Shorter hospital stay
  • Faster recovery
  • Lower complication risk

Considerations

Not all patients are candidates. Feasibility depends on health status, disease extent, and surgeon expertise. Discuss benefits, risks, alternatives with your provider.

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