Our Summary

This research paper is about a study done to understand the effectiveness of a type of surgery called laparoscopic sigmoidectomy, which is commonly used to treat a digestive disease called diverticulitis. The researchers wanted to see if the benefits of this surgical procedure continue even when the surgery takes longer than expected.

They reviewed the data of 466 patients who underwent this surgery at a single medical center between 2010 and 2015. They divided the surgeries into four groups based on how long they took, and then compared the patient outcomes in each group.

The results showed that there were no significant differences in health problems or readmission rates across the groups. However, patients whose surgeries were in the second and fourth longest group had to stay in the hospital longer. But there was no increase in hospital stay as the surgery time increased between the second, third, and fourth groups.

The researchers concluded that there’s no need to switch to a different type of surgery just to avoid longer operating times. If the surgery is going safely, it’s okay to continue with the laparoscopic sigmoidectomy even if it takes longer.

FAQs

  1. What is the purpose of the research study on laparoscopic sigmoidectomy?
  2. Did the study find any significant differences in health problems or readmission rates based on the length of the surgery?
  3. What was the conclusion of the researchers about the use of laparoscopic sigmoidectomy when the surgery takes longer than expected?

Doctor’s Tip

A helpful tip a doctor might tell a patient about sigmoidectomy is to follow their post-operative care instructions closely to ensure a smooth recovery. This may include taking prescribed medications, following a specific diet, avoiding strenuous activities, and attending follow-up appointments. It’s also important to report any concerning symptoms to your healthcare provider promptly.

Suitable For

Patients who are typically recommended sigmoidectomy are those who have been diagnosed with diverticulitis, a condition in which small pouches (diverticula) form in the colon and become inflamed or infected. Sigmoidectomy is often recommended for patients with recurrent or severe diverticulitis that does not respond to other treatments such as medication or dietary changes. Additionally, patients who have complications of diverticulitis, such as abscesses, fistulas, or bowel obstructions, may also be candidates for sigmoidectomy.

In the study mentioned above, the patients who underwent laparoscopic sigmoidectomy were likely those who met the criteria for surgery based on the severity and recurrence of their diverticulitis. The findings of the study suggest that the benefits of this surgical procedure are maintained even when the surgery takes longer than expected, indicating that patients who require a longer operation time can still benefit from laparoscopic sigmoidectomy.

Timeline

Before the sigmoidectomy surgery, a patient typically experiences symptoms of diverticulitis such as abdominal pain, bloating, constipation, and fever. They may undergo diagnostic tests such as a physical exam, blood tests, colonoscopy, and imaging studies to confirm the diagnosis and determine the best course of treatment.

After the sigmoidectomy surgery, the patient will undergo a period of recovery in the hospital, which may include pain management, monitoring for complications, and gradually resuming normal activities. They may also need to follow a special diet to allow the colon to heal properly. Over time, the patient should experience relief from the symptoms of diverticulitis and have improved overall digestive health.

What to Ask Your Doctor

  1. What is a laparoscopic sigmoidectomy and how does it compare to other surgical options for treating diverticulitis?
  2. What are the potential risks and complications associated with a laparoscopic sigmoidectomy?
  3. How long does the typical laparoscopic sigmoidectomy surgery take, and what factors could prolong the surgery time?
  4. What are the expected outcomes and recovery time following a laparoscopic sigmoidectomy?
  5. How many laparoscopic sigmoidectomies have you performed, and what is your success rate with this procedure?
  6. Are there any alternative treatments or surgical options that I should consider for my diverticulitis?
  7. Will I need to make any lifestyle changes or follow a specific diet after undergoing a laparoscopic sigmoidectomy?
  8. How will my pain be managed following the surgery, and what can I expect in terms of pain relief?
  9. Will I need to have any follow-up appointments or tests after the surgery, and how long will it take for me to fully recover?
  10. Are there any specific questions or concerns that I should discuss with you before deciding to proceed with a laparoscopic sigmoidectomy?

Reference

Authors: Williams J, Stocchi L, Aiello A, Bhama A, Kessler H, Gorgun E, Delaney CP, Steele S, Valente M. Journal: Surg Endosc. 2021 Jun;35(6):2823-2830. doi: 10.1007/s00464-020-07717-y. Epub 2020 Jun 17. PMID: 32556770