Preserving Inferior Mesenteric Artery during Elective Laparoscopic Sigmoidectomy for Diverticulitis.

Abstract

Background: To evaluate results after Laparoscopic Sigmoid Resection (LSR) with Inferior Mesenteric Artery Preservartion (IMAP) and Superior Rectal Artery Preservation (SRAP), regarding the incidence of anastomotic leakages , denervation of the hypogastric nerves with consequent genitourinary and defecation alterations. Methods: We have reflectively assessed PUBMED. 23 investigations was evaluated from 2000 to 2020. Consideration standards: english language, complete treatment of pathology from determination to medical procedure and catchphrases “diverticular disease, diverticulitis, inferior mesenteric artery preservation, superior rectal artery preservation, high tie, low tie, laparoscopic left colectomy" was inquired about Results:A total of 1685 patients with IMAP and SRAP were included in the study. Conclusion: IMAP / SRAP or not preservation technique were not associated with an significant inferior leak rate as IMAR from colorectal anastomoses after sigmoidectomy for diverticular disease and they are associated with better QoL, good quality of restoration of bowel function, genito-urinary and sexual function respect not IMAP.