Laparoscopic Sigmoid Resection for Diverticulitis

Brian Bello, MD

Video Summary

The video demonstrates a case of a man with sigmoid diverticulitis and colovesical fistula. We show the key steps of a sigmoid resection, including port placement, both lateral-to-medial and medial-to-lateral mobilization, ligation of superior hemorrhoidal vessels, division of upper rectum, mobilization of splenic flexure, extraction of colon, anastomosis, and closure.


Teaching Points

  1. Patient preparation
  2. Patient position
  3. Critical steps
  4. Technical pearls/tips
  5. Potential areas for injury/complication
Last updated: December 6, 2022