48,833
edits
Difference between revisions of "Partial colectomy for diverticular disease"
Jump to navigation
Jump to search
Partial colectomy for diverticular disease (view source)
Revision as of 14:01, 15 October 2024
, 15 Octoberno edit summary
(create) |
|||
| (6 intermediate revisions by the same user not shown) | |||
| Line 1: | Line 1: | ||
[[Image:Sigmoid diverticulum (diagram).jpg|thumb|right|Drawing showing sigmoid diverticula. (WC/Anpol42)]] | |||
'''Partial colectomy for [[diverticular disease]]''' is a very common procedure. The sigmoid colon is typically afflicited; in that case it can more precisely be labeled '''sigmoidectomy for diverticular disease'''. | '''Partial colectomy for [[diverticular disease]]''' is a very common procedure. The sigmoid colon is typically afflicited; in that case it can more precisely be labeled '''sigmoidectomy for diverticular disease'''. | ||
==Introduction== | |||
This is a relatively common specimen. [[Diverticulitis]] (inflammation of diverticula) and it complications are usually diagnosed by computed tomography (CT).<ref name=pmid27622365>{{Cite journal | last1 = Schultz | first1 = JK. | last2 = Yaqub | first2 = S. | last3 = Øresland | first3 = T. | title = Management of Diverticular Disease in Scandinavia. | journal = J Clin Gastroenterol | volume = 50 Suppl 1 | issue = | pages = S50-2 | month = Oct | year = 2016 | doi = 10.1097/MCG.0000000000000642 | PMID = 27622365 }}</ref> | |||
If the individual has a peritonitis, a (temporary) [[stoma]] is created in a surgery known as a ''Hartmann's procedure''.<ref name=pmid27622365/> | |||
The pathologist's main tasks in this specimen is: | The pathologist's main tasks in this specimen is: | ||
#Confirming and documenting extent of the disease. | #Confirming and documenting extent of the disease. | ||
#Excluding malignancy | #Excluding malignancy. | ||
==Protocol== | ==Protocol== | ||
| Line 31: | Line 32: | ||
*Distal mucosal margin. | *Distal mucosal margin. | ||
*Diverticula (3-5 blocks). | *Diverticula (3-5 blocks). | ||
*Interdiverticular mucosa (2 | *Interdiverticular mucosa (2 blocks). | ||
*Lymph nodes ( | *Lymph nodes (1 or 2 blocks). ‡ | ||
===Protocol notes=== | ===Protocol notes=== | ||
‡ The Royal College of Pathologists (UK) recommends submitting lymph nodes in benign resection.<ref>URL: [https://www.rcpath.org/static/4593f557-d75c-4ca6-9307a9d688e02a2d/g085-tp-giandp-jan16.pdf https://www.rcpath.org/static/4593f557-d75c-4ca6-9307a9d688e02a2d/g085-tp-giandp-jan16.pdf]. Accessed on: 2024 Oct 15.</ref> | |||
===Alternate approaches=== | ===Alternate approaches=== | ||