Short-term outcomes after elective minimally invasive colectomy for diverticulitis.
| Title: | Short-term outcomes after elective minimally invasive colectomy for diverticulitis. |
|---|---|
| Authors: | Pendlimari R; Division of Colon and Rectal Surgery, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, Minnesota 55905, USA.; Touzios JG; Azodo IA; Chua HK; Dozois EJ; Cima RR; Larson DW |
| Source: | The British journal of surgery [Br J Surg] 2011 Mar; Vol. 98 (3), pp. 431-5. Date of Electronic Publication: 2010 Nov 25. |
| Publication Type: | Comparative Study; Journal Article |
| Language: | English |
| Journal Info: | Publisher: Oxford University Press on behalf of BJS Foundation Ltd Country of Publication: England NLM ID: 0372553 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2168 (Electronic) Linking ISSN: 00071323 NLM ISO Abbreviation: Br J Surg Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2021- : [Oxford] : Oxford University Press on behalf of BJS Foundation Ltd.; Original Publication: [Bristol, England : Baltimore : John Wright & Sons ; Williams & Wilkins Co. |
| MeSH Terms: | Colectomy/*methods ; Diverticulitis, Colonic/*surgery ; Elective Surgical Procedures/*methods ; Laparoscopy/*methods ; Postoperative Complications/*etiology; Colectomy/mortality ; Laparoscopy/mortality ; Female ; Humans ; Length of Stay ; Male ; Middle Aged ; Prospective Studies ; Treatment Outcome |
| Abstract: | Background: The role of minimally invasive surgery in complicated diverticulitis is still being elucidated. The aim of this study was to compare short-term outcomes in patients undergoing minimally invasive surgery for complicated or uncomplicated diverticular disease.; Methods: All patients who had elective minimally invasive surgery for diverticulitis between 2003 and 2008 were identified from a prospectively maintained database. Complicated disease was defined as diverticulitis associated with abscess, fistula, stricture or bleeding. Univariable analysis was performed to compare safety and short-term outcomes in patients with complicated and uncomplicated diverticulitis.; Results: A total of 361 patients (136 with complicated and 225 with uncomplicated diverticulitis) were operated on with either a laparoscopic (36·0 per cent) or a hand-assisted laparoscopic (64·0 per cent) surgical technique. There were no significant differences between the groups with respect to age, sex, body mass index, laparoscopic approach, postoperative recovery protocol or previous open surgery. Conversion rates were similar for complicated and uncomplicated disease (14·0 versus 11·6 per cent respectively; P = 0·514). There was no difference between the groups with respect to return of bowel function (mean 3·1 versus 3·2 days respectively; P = 0·156), morbidity (27·9 versus 19·6 per cent; P = 0·070) or mean length of stay (5·4 versus 4·8 days; P = 0·186). There were no deaths within 30 days.; Conclusion: Elective minimally invasive colectomy is feasible for patients with uncomplicated and complicated diverticulitis, with equivalent outcomes.; (Copyright © 2010 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.) |
| Entry Date(s): | Date Created: 20110122 Date Completed: 20110223 Latest Revision: 20220408 |
| Update Code: | 20260130 |
| DOI: | 10.1002/bjs.7345 |
| PMID: | 21254022 |
| Database: | MEDLINE |
Comparative Study; Journal Article