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The Sigma-trial protocol: a prospective double-blind multi-centre comparison of laparoscopic versus open elective sigmoid resection in patients with symptomatic diverticulitis |
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| Authors: | Bastiaan R Klarenbeek Alexander AFA Veenhof Elly SM de Lange Willem A Bemelman Roberto Bergamaschi Piet Heres Antonio M Lacy Wim T van den Broek Donald L van der Peet Miguel A Cuesta |
| Affiliation: | (1) Department of Surgery, VU medical centre, Amsterdam, The Netherlands;(2) Department of Clinical Epidemiology and Biostatistics, VU medical centre, Amsterdam, The Netherlands;(3) Department of Surgery, Academisch Medisch Centrum, Amsterdam, The Netherlands;(4) Department of Surgery, Central Teaching Hospital, Bergen University, Forde, Norway;(5) Department of Surgery, Waterland Hospital, Purmerend, The Netherlands;(6) Department of Surgery, Hospital Clinic, Barcelona, Spain |
| Abstract: | BackroundDiverticulosis is a common disease in the western society with an incidence of 33–66%. 10–25% of these patients will develop diverticulitis. In order to prevent a high-risk acute operation it is advised to perform elective sigmoid resection after two episodes of diverticulitis in the elderly patient or after one episode in the younger (< 50 years) patient. Open sigmoid resection is still the gold standard, but laparoscopic colon resections seem to have certain advantages over open procedures. On the other hand, a double blind investigation has never been performed. The Sigma-trial is designed to evaluate the presumed advantages of laparoscopic over open sigmoid resections in patients with symptomatic diverticulitis. |
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