Open AccessRobotic Surgery for Complicated Diverticular Disease
Author(s) -
Fadwa Ali,
Elizabeth R. Raskin
Publication year - 2021
Publication title -
clinics in colon and rectal surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.884
H-Index - 38
eISSN - 1521-5741
pISSN - 1530-9681
DOI - 10.1055/s-0041-1729863
Subject(s) - diverticular disease , medicine , diverticulitis , colorectal surgery , robotic surgery , laparoscopic surgery , open surgery , fistula , general surgery , surgery , disease , laparoscopy , abdominal surgery
Diverticular disease is common, and increasing in prevalence worldwide. The treatment for acute and chronic diverticular disease has a huge clinical and economic burden. Surgery is standard for complicated diverticulitis, and there are several benefits to using robotic surgery in these cases. Complicated diverticular disease can result in fistula, fibrosis, and deranged anatomy, which present technical challenges to the surgeon. Understanding and anticipating these anatomical challenges is key to successful surgery. While fears of conversion in complicated cases may stop surgeons from using traditional laparoscopic surgery, robotic surgery is especially promising for enhancing dexterity, visualization, and facilitating completely minimally invasive surgery in these complicated cases. In this chapter, we review end-to-end technical strategies of robotic colorectal surgery for complicated diverticular disease, including cases with colovesicular, colovaginal, and colocutaneous fistulae.