Elective laparoscopic surgical management of recurrent and complicated sigmoid diverticulitis
Lu, C.-T., and Ho, Y.-H. (2008) Elective laparoscopic surgical management of recurrent and complicated sigmoid diverticulitis. Techniques in Coloproctology, 12 (3). pp. 201-206.
|PDF (Published Version) - Repository staff only - Requires a PDF viewer such as GSview, Xpdf or Adobe Acrobat Reader|
View at Publisher Website: http://dx.doi.org/10.1007/s10151-008-042...
Background: To review the results of elective laparoscopic anterior resection (LAR) for recurrent and complicated sigmoid diverticulitis, and determine the factors associated with surgical complications.
Methods: Data on patients who had had elective surgery for recurrent and complicated sigmoid diverticulitis were extracted from a prospective computerized database.
Results: Review of the database revealed 62 consecutive patients who had undergone LAR. These patients were initially compared with 20 patients who had undergone elective open anterior resection (OAR). There were no significant differences between the groups in relation to age, sex, indication for surgery, Hinchey stage of perforation, extent of adhesions or comorbidities. The intraoperative time for LAR was significantly shorter (mean±SEM 110.87±4.8 min vs. OAR 134.35±8.4; p=0.032) and blood loss was less (88±18 ml vs. OAR 134±24 ml; p=0.003). Postoperative passage of flatus occurred earlier after LAR (p<0.003). Hospital stay was shorter after LAR (p<0.001). Complications occurred in nine patients (15%) after LAR and in six patients (30%) after OAR (p=NS). Among the LAR patients the risk of complications was higher in those with preexisting comorbidities (p=0.037). Time to postoperative passage of flatus correlated positively with age (p=0.004).
Conclusions: Elective LAR for recurrent and complicated sigmoid diverticulitis could be performed safely and expediently. Bowel function recovered later in older patients. The risk of medical complications was related to preexisting comorbidities.
|Item Type:||Article (Refereed Research - C1)|
|Keywords:||laparoscopy; sigmoid diverticulitis; age; postoperative ileus|
|FoR Codes:||11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110323 Surgery @ 100%|
|SEO Codes:||92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920118 Surgical Methods and Procedures @ 100%|
|Deposited On:||17 Mar 2010 11:04|
|Last Modified:||16 May 2013 01:00|
Last 12 Months: 1
|Citation Counts with External Providers:||Web of Science: 9|
Repository Staff Only: item control page