Dr Richard Downey Ms McNamara service.  Short term Results of the Sigma Trial  Bastiaan R. Klarenbeek MD et al  Annals of Surgery, January 2009  Ann.

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Presentation transcript:

Dr Richard Downey Ms McNamara service

 Short term Results of the Sigma Trial  Bastiaan R. Klarenbeek MD et al  Annals of Surgery, January 2009  Ann Surg 2009; 249: 39-44

 No RCT has compared laparoscopic sigmoid resection (LSR) to open sigmoid resection (OSR) for symptomatic diverticulitis  Prospective, multicentre, double blind RCT  Endpoints ◦ Post op mortality, major and minor complications  Symptomatic diverticulitis of sigmoid colon ◦ Hinchey ǀ,ǁa,ǁb, symptomatic stricture and severe rectal bleeding

 , 104 patients in 5 centres  52 similiar patients each group  LSR- longer, less blood loss  Major comp > in OSR  Minor comp similiar  LSR patients ◦ Less pain, less analgesia requirement, home earlier and better post op quality of life Thank you