Factors associated with complications of open versus laparoscopic sigmoid resection for diverticulitis
This study critically reviews sigmoid colon resection for diverticulitis comparing open and laparoscopic techniques. We conducted a retrospective review of all open and laparoscopic cases of diverticulitis between 1992 and 2001. Data analyzed included the following: indications for operation, postop...
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| Veröffentlicht in: | Journal of the Society of Laparoendoscopic Surgeons 2005-01, Vol.9 (1), p.63-67 |
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| creator | Simon, T Orangio, G R Ambroze, W L Armstrong, D N Schertzer, M E Choat, D Pennington, E E |
| description | This study critically reviews sigmoid colon resection for diverticulitis comparing open and laparoscopic techniques.
We conducted a retrospective review of all open and laparoscopic cases of diverticulitis between 1992 and 2001. Data analyzed included the following: indications for operation, postoperative complications, and incidence of laparoscopic conversion to laparotomy. Major and minor complications were analyzed in relation to patients' preoperative diagnosis, age, presence or absence of splenic flexure mobilization, length of stay, and laparoscopic sigmoid resection versus open sigmoid resection.
Over a 10-year period, 166 resections for diverticulitis were performed including 126 open cases and 40 laparoscopic cases. No significant differences existed in patient characteristics between the groups. Major complications occurred in 14% of patients, and the laparoscopic conversion rate was 20%. The presence of abscess, fistula, or stricture preoperatively was associated with a higher complication rate only in patients > or =50 years old undergoing open sigmoid resection. The length of stay between patients undergoing laparoscopic resection was significantly less than in patients having open resection.
Advanced laparoscopic sigmoid resection is an alternative to open sigmoid resection in patients with diverticulitis and its complications. Open sigmoid resection in patients >50 years may have a higher complication rate in complicated diverticulitis when compared with laparoscopic sigmoid resection (all patient ages) and open sigmoid resection (patients |
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We conducted a retrospective review of all open and laparoscopic cases of diverticulitis between 1992 and 2001. Data analyzed included the following: indications for operation, postoperative complications, and incidence of laparoscopic conversion to laparotomy. Major and minor complications were analyzed in relation to patients' preoperative diagnosis, age, presence or absence of splenic flexure mobilization, length of stay, and laparoscopic sigmoid resection versus open sigmoid resection.
Over a 10-year period, 166 resections for diverticulitis were performed including 126 open cases and 40 laparoscopic cases. No significant differences existed in patient characteristics between the groups. Major complications occurred in 14% of patients, and the laparoscopic conversion rate was 20%. The presence of abscess, fistula, or stricture preoperatively was associated with a higher complication rate only in patients > or =50 years old undergoing open sigmoid resection. The length of stay between patients undergoing laparoscopic resection was significantly less than in patients having open resection.
Advanced laparoscopic sigmoid resection is an alternative to open sigmoid resection in patients with diverticulitis and its complications. Open sigmoid resection in patients >50 years may have a higher complication rate in complicated diverticulitis when compared with laparoscopic sigmoid resection (all patient ages) and open sigmoid resection (patients <50 years old). Regarding complications, no difference existed between the length of stay in patients with open vs. laparoscopic resection.</description><identifier>ISSN: 1086-8089</identifier><identifier>EISSN: 1938-3797</identifier><identifier>PMID: 15791973</identifier><language>eng</language><publisher>United States: Society of Laparoendoscopic Surgeons</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Diverticulitis, Colonic - surgery ; Humans ; Laparoscopy - adverse effects ; Middle Aged ; Postoperative Complications - epidemiology ; Retrospective Studies ; Scientific Papers ; Sigmoid Diseases - surgery</subject><ispartof>Journal of the Society of Laparoendoscopic Surgeons, 2005-01, Vol.9 (1), p.63-67</ispartof><rights>2005 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. 2005 Society of Laparoendoscopic Surgeons</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015556/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015556/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,53782,53784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15791973$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Simon, T</creatorcontrib><creatorcontrib>Orangio, G R</creatorcontrib><creatorcontrib>Ambroze, W L</creatorcontrib><creatorcontrib>Armstrong, D N</creatorcontrib><creatorcontrib>Schertzer, M E</creatorcontrib><creatorcontrib>Choat, D</creatorcontrib><creatorcontrib>Pennington, E E</creatorcontrib><title>Factors associated with complications of open versus laparoscopic sigmoid resection for diverticulitis</title><title>Journal of the Society of Laparoendoscopic Surgeons</title><addtitle>JSLS</addtitle><description>This study critically reviews sigmoid colon resection for diverticulitis comparing open and laparoscopic techniques.
We conducted a retrospective review of all open and laparoscopic cases of diverticulitis between 1992 and 2001. Data analyzed included the following: indications for operation, postoperative complications, and incidence of laparoscopic conversion to laparotomy. Major and minor complications were analyzed in relation to patients' preoperative diagnosis, age, presence or absence of splenic flexure mobilization, length of stay, and laparoscopic sigmoid resection versus open sigmoid resection.
Over a 10-year period, 166 resections for diverticulitis were performed including 126 open cases and 40 laparoscopic cases. No significant differences existed in patient characteristics between the groups. Major complications occurred in 14% of patients, and the laparoscopic conversion rate was 20%. The presence of abscess, fistula, or stricture preoperatively was associated with a higher complication rate only in patients > or =50 years old undergoing open sigmoid resection. The length of stay between patients undergoing laparoscopic resection was significantly less than in patients having open resection.
Advanced laparoscopic sigmoid resection is an alternative to open sigmoid resection in patients with diverticulitis and its complications. Open sigmoid resection in patients >50 years may have a higher complication rate in complicated diverticulitis when compared with laparoscopic sigmoid resection (all patient ages) and open sigmoid resection (patients <50 years old). Regarding complications, no difference existed between the length of stay in patients with open vs. laparoscopic resection.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Diverticulitis, Colonic - surgery</subject><subject>Humans</subject><subject>Laparoscopy - adverse effects</subject><subject>Middle Aged</subject><subject>Postoperative Complications - epidemiology</subject><subject>Retrospective Studies</subject><subject>Scientific Papers</subject><subject>Sigmoid Diseases - surgery</subject><issn>1086-8089</issn><issn>1938-3797</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkFFLwzAUhYsobk7_guTJt0LSLE3yIshwThj4os8lTW63SNvU3HTiv7fiFH06F-7Hd-CcZHOmucq51PJ0uqkqc0WVnmUXiK-ULkVBxXk2Y0JqpiWfZ83a2BQiEoMYrDcJHHn3aU9s6IbWW5N86JGEhoQBenKAiCOS1gwmBrRh8Jag33XBOxIBwX7hpAmROD-xydux9cnjZXbWmBbh6piL7GV9_7za5Nunh8fV3TYfmNQpL5RwWkBjS8OaQgNowxiXnFJwiha1qmtOl1YBk2CXnAqtG-UMo5TV2jrNF9ntt3cY6w6chT5F01ZD9J2JH1Uwvvr_6f2-2oVDxSkTQpST4OYoiOFtBExV59FC25oewohVKYVgWqgJvP7b9FvxMy3_BPX8eps</recordid><startdate>200501</startdate><enddate>200501</enddate><creator>Simon, T</creator><creator>Orangio, G R</creator><creator>Ambroze, W L</creator><creator>Armstrong, D N</creator><creator>Schertzer, M E</creator><creator>Choat, D</creator><creator>Pennington, E E</creator><general>Society of Laparoendoscopic Surgeons</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>200501</creationdate><title>Factors associated with complications of open versus laparoscopic sigmoid resection for diverticulitis</title><author>Simon, T ; Orangio, G R ; Ambroze, W L ; Armstrong, D N ; Schertzer, M E ; Choat, D ; Pennington, E E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p179t-285d95efc6a1f29ee9a1137300ed802b8bb304c8e17ec430599f8da1001b9cd93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Diverticulitis, Colonic - surgery</topic><topic>Humans</topic><topic>Laparoscopy - adverse effects</topic><topic>Middle Aged</topic><topic>Postoperative Complications - epidemiology</topic><topic>Retrospective Studies</topic><topic>Scientific Papers</topic><topic>Sigmoid Diseases - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Simon, T</creatorcontrib><creatorcontrib>Orangio, G R</creatorcontrib><creatorcontrib>Ambroze, W L</creatorcontrib><creatorcontrib>Armstrong, D N</creatorcontrib><creatorcontrib>Schertzer, M E</creatorcontrib><creatorcontrib>Choat, D</creatorcontrib><creatorcontrib>Pennington, E E</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of the Society of Laparoendoscopic Surgeons</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Simon, T</au><au>Orangio, G R</au><au>Ambroze, W L</au><au>Armstrong, D N</au><au>Schertzer, M E</au><au>Choat, D</au><au>Pennington, E E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors associated with complications of open versus laparoscopic sigmoid resection for diverticulitis</atitle><jtitle>Journal of the Society of Laparoendoscopic Surgeons</jtitle><addtitle>JSLS</addtitle><date>2005-01</date><risdate>2005</risdate><volume>9</volume><issue>1</issue><spage>63</spage><epage>67</epage><pages>63-67</pages><issn>1086-8089</issn><eissn>1938-3797</eissn><abstract>This study critically reviews sigmoid colon resection for diverticulitis comparing open and laparoscopic techniques.
We conducted a retrospective review of all open and laparoscopic cases of diverticulitis between 1992 and 2001. Data analyzed included the following: indications for operation, postoperative complications, and incidence of laparoscopic conversion to laparotomy. Major and minor complications were analyzed in relation to patients' preoperative diagnosis, age, presence or absence of splenic flexure mobilization, length of stay, and laparoscopic sigmoid resection versus open sigmoid resection.
Over a 10-year period, 166 resections for diverticulitis were performed including 126 open cases and 40 laparoscopic cases. No significant differences existed in patient characteristics between the groups. Major complications occurred in 14% of patients, and the laparoscopic conversion rate was 20%. The presence of abscess, fistula, or stricture preoperatively was associated with a higher complication rate only in patients > or =50 years old undergoing open sigmoid resection. The length of stay between patients undergoing laparoscopic resection was significantly less than in patients having open resection.
Advanced laparoscopic sigmoid resection is an alternative to open sigmoid resection in patients with diverticulitis and its complications. Open sigmoid resection in patients >50 years may have a higher complication rate in complicated diverticulitis when compared with laparoscopic sigmoid resection (all patient ages) and open sigmoid resection (patients <50 years old). Regarding complications, no difference existed between the length of stay in patients with open vs. laparoscopic resection.</abstract><cop>United States</cop><pub>Society of Laparoendoscopic Surgeons</pub><pmid>15791973</pmid><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of the Society of Laparoendoscopic Surgeons, 2005-01, Vol.9 (1), p.63-67 |
| issn | 1086-8089 1938-3797 |
| language | eng |
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| source | MEDLINE; PubMed Central; EZB Electronic Journals Library |
| subjects | Adult Aged Aged, 80 and over Diverticulitis, Colonic - surgery Humans Laparoscopy - adverse effects Middle Aged Postoperative Complications - epidemiology Retrospective Studies Scientific Papers Sigmoid Diseases - surgery |
| title | Factors associated with complications of open versus laparoscopic sigmoid resection for diverticulitis |
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