Authors: C M Schlachta J Mamazza E C Poulin
Publish Date: 2014/03/01
Volume: 13, Issue: 7, Pages: 649-653
Abstract
Background Sigmoid diverticulitis is a common benign condition however cases of acute and chronic diverticulitis may be difficult for the surgeon to treat We designed a study to compare the outcomes of patients who undergo laparoscopic resections for sigmoid diverticulitis with those who have similar resections for other indicationsResults Laparoscopic sigmoid colectomies or anterior resections were performed in 22 patients with acute diverticulitis AD 70 patients with chronic diverticulitis CD and 86 patients with nondiverticular disease ND Patients with ND were significantly older than those with AD or CD 67 ± 14 year versus 55 ± 13 year 55 ± 12 year p 005 Conversion to open surgery was required in three AD patients 14 three CD patients 4 and 17 ND patients 20 χ2= 823 p= 0016 In cases completed laparoscopically there was no significant difference in median operative time AD 165 min CD 150 min ND 165 min proportion of patients with intraoperative complications AD one CD six ND one or postoperative complications AD four CD 13 ND 11 The occurrence of a postoperative complication significantly prolonged median time to full diet 4 days vs 3 days p 0001 and discharge 9 days vs 5 days p 0001 but not return to normal activity 16 days vs 15 daysConclusions In this study patients who underwent laparoscopic sigmoid colectomies and anterior resections had similar outcomes regardless of diagnosis This finding substantiates our view that laparoscopic resections for diverticulitis can be performed safely and with the same benefits as resections for other indications
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