Zusammenfassung
Die laparoskopische Sigmakontinuitätsresektion stellt das Standardverfahren für die Behandlung der Divertikulitis dar. Sie gilt als klassische Einsteigeroperation für die kolorektale minimalinvasive Chirurgie. Indiziert ist der Zugangsweg v. a. in der Elektivsituation bei chronisch rezidivierenden bzw. chronisch komplizierten Stadien. In der Notfallsituation entscheidet die Expertise des Operateurs über die Wahl des Zugangsweges. Entscheidend bei der laparoskopischen Resektion ist die Mitnahme des rektosigmoidalen Übergangs. Eine Entfernung aller Divertikel oral des Entzündungstumors ist nicht erforderlich. Dieses Kapitel stellt die präoperative Diagnostik, die Indikationsstellung, das perioperative Management und technische Vorgehen bei der laparoskopischen Sigmaresektion sowie die potentiellen intraoperativen Komplikationen vor.
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Ritz, JP. (2017). Laparoskopische Sigmaresektion bei Divertikulitis. In: Keck, T., Germer, C. (eds) Minimalinvasive Viszeralchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53204-1_28
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DOI: https://doi.org/10.1007/978-3-662-53204-1_28
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