Intraoperative endoscopy for the assessment of circular-stapled anastomosis in laparoscopic colon surgery.

Introduction: Anastomotic bleeding after a circular-stapled anastomosis in laparoscopic colon resections is a rare but extremely aggravating complication. An intraoperative endoscopic assessment of the anastomosis allows immediate evaluation regarding bleeding and possible leakage. The aim of the study was to evaluate the impact of routine intraoperative endoscopy on postoperative complications.

Lessons learned from the analysis of 200 laparoscopic sigmoid resections for diverticulitis.

Introduction: Since the beginning of laparoscopic surgery indications for laparoscopic colon resections are still discussed controversively. In the latest studies benefit for laparoscopic approach is reported. The aim of this study was to evaluate the feasibility of laparoscopic sigmoid resections for diverticulitis regarding conversion rate, operation time and intraoperative and postoperative complications, and defining strategies to prevent complications.

[Surgical treatment of small intestinal diseases, causing hemorrhage, and diagnosed with capsule endoscopy].

The wireless video capsule endoscopy is a new, painless, non-invasive technique for imaging the small bowel. It can be used to visualise the entire small bowel in selected patients where bleeding source cannot be verified by conventional diagnostic methods. Authors operated on three patients between November 2002 and March 2003, after intestinal bleeding source was detected by capsule endoscopy.