What is laparoscopic sigmoid colon resection?
During the operation, the diseased segment of the sigmoid colon is removed together with the mesocolon, the blood vessels, and, for malignant tumors, the regional lymph nodes.
After resection, a colorectal or colosigmoid anastomosis is created, which in most patients restores the natural passage of intestinal contents without the need for a permanent stoma.
Our approach
At MSI, the treatment strategy is determined after a comprehensive examination that includes colonoscopy, computed tomography, and morphological confirmation of the diagnosis. Every clinical case is reviewed individually by a multidisciplinary team.
In operations for sigmoid colon cancer, we follow the principles of *Complete Mesocolic Excision (CME) with Central Vascular Ligation (CVL)*, which ensure radical removal of the tumor together with the mesocolon and regional lymph nodes in line with modern international standards.
We prefer the laparoscopic approach, which reduces postoperative pain, shortens the hospital stay, and speeds up recovery. After surgery, the principles of *ERAS (Enhanced Recovery After Surgery)* are applied for the fastest and safest possible recovery.
When is surgery needed?
Laparoscopic sigmoid colon resection is performed for:
- sigmoid colon cancer
- large adenomas that cannot be removed endoscopically
- diverticular disease
- recurrent or complicated diverticulitis
- benign tumors
- certain forms of Crohn's disease
- strictures of the sigmoid colon
- intestinal fistulas
Indications for surgery
Surgery is recommended for:
- malignant tumors of the sigmoid colon
- large precancerous lesions
- repeated episodes of diverticulitis
- abscesses or strictures related to diverticular disease
- cases where conservative or endoscopic treatment is ineffective
- bleeding, obstruction, or perforation
How is the operation performed?
The operation is performed under general anesthesia through several small incisions.
After the sigmoid colon is mobilized, the vessels are ligated and the affected segment is removed together with the mesocolon and, in cancer, the regional lymph nodes. An intestinal anastomosis is then created to restore bowel continuity. The removed specimen is always sent for histopathological examination.
Advantages of laparoscopic surgery
- Less surgical trauma
- Less postoperative pain
- Faster recovery of bowel function
- Lower risk of infectious complications
- Shorter hospital stay
- Better cosmetic result
- High oncological radicality in malignant disease
Recovery after surgery
Postoperative treatment follows ERAS protocols. Early mobilization, a quick return to eating, modern pain relief, and prevention of complications allow most patients to return to their normal lifestyle quickly.
Our advantages
- Complex laparoscopic colorectal surgery
- Treatment of both malignant and benign diseases of the sigmoid colon
- Adherence to NCCN, ESMO, and ASCRS international guidelines
- Oncological principles of CME and CVL
- Modern laparoscopic equipment
- Enhanced recovery program (ERAS)
Frequently Asked Questions
In most cases, yes. However, with severe inflammation, a large tumor, or complex anatomy, an open approach may be needed.
In most planned operations, bowel continuity is restored immediately. A temporary stoma is created only when there are appropriate clinical indications.
Yes. Laparoscopic sigmoid colon resection is one of the most effective treatments for recurrent or complicated diverticulitis.
In operations for malignant tumors, the regional lymph nodes are always removed in line with modern oncology standards.
Once the histopathology results are available, the multidisciplinary team decides whether further treatment or follow-up monitoring is needed.