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Minimalinvasive Viszeralchirurgie pp 289–305Cite as

Laparoskopische Sigmaresektion bei Divertikulitis

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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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Authors and Affiliations

  1. Klinik für Allgemein- und Viszeralchirurgie, HELIOS Kliniken Schwerin, Wismarsche Straße 393–397, 19049, Schwerin

    Prof. Dr. med. Jörg-Peter Ritz

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  1. Prof. Dr. med. Jörg-Peter Ritz
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Editors and Affiliations

  1. Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein, Lübeck, Germany

    Tobias Keck

  2. Klinik für Allgemein-, Viszeral-, Gefäß-, und Kinderchirurgie, Würzburg, Germany

    Christoph T. Germer

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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

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-53203-4

  • Online ISBN: 978-3-662-53204-1

  • eBook Packages: Medicine (German Language)

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