Abstract
Diverticular disease accounts for 40% of lower gastrointestinal bleeding. Multiple diverticular disease in the total colon is extremely rare and is an indication for an operative procedure if bleeding is repeated. Laparoscopic colectomy has developed with the explosion of technology that has followed laparoscopic cholecystectomy. We report herein on a case of multiple diverticular disease with repeated bleeding treated with laparoscopic-assisted subtotal colectomy. A 64-year-old man had repeated hemorrhagic shocks due to massive bleeding from the colon diverticula for five years. The patient was admitted to our hospital complaining of melena, was managed conservatively and improved. Several examinations showed multiple diverticula in the total colon. Because of repeating bleeding, we performed laparoscopic-assisted subtotal colectomy. Operative time was 488 minutes and the blood loss volume was 765 mL. Laparoscopic-assisted subtotal colectomy is a safe and effective surgical procedure for diverticula of the colon.
