F Siriser1. 1. Department of Digestive Surgery, Centre Hospitalier Privé Saint Martin, 18 Rue des Roquemonts 14050 Caen, France.
Abstract
BACKGROUND: The feasibility of laparoscopic colectomy has now been established, but little attention has been paid to its indications. Therefore, we undertook a prospective study of the laparoscopic treatment of diverticular disease of the colon. METHODS: A total of 65 patients were operated on by a single surgeon between July 1993 and March 1998. Indications for operation included a previous acute attack of diverticulitis, abscess, or colovesical fistula. All procedures were laparoscopic-assisted. RESULTS: Three conversions (4. 6%) were necessary. There were no postoperative mortalities. Nine postoperative complications occurred (17%); one of them (1.5%) was directly related to the operation and required reoperation. Patients passed flatus after 2.2 +/- 1.2 days (range, 1-9), and oral feeding was started after 2.6 +/- 1.3 days (range, 1-9). The hospital stay was 7.6 +/- 3 days (range, 5-19). No patient with >6 months of follow-up (40 patients) had any complaints related to diverticular disease. CONCLUSIONS: These results suggest that this procedure is as safe as the traditional approach and provides superior comfort and cosmesis with the same long-term outcome.
BACKGROUND: The feasibility of laparoscopic colectomy has now been established, but little attention has been paid to its indications. Therefore, we undertook a prospective study of the laparoscopic treatment of diverticular disease of the colon. METHODS: A total of 65 patients were operated on by a single surgeon between July 1993 and March 1998. Indications for operation included a previous acute attack of diverticulitis, abscess, or colovesical fistula. All procedures were laparoscopic-assisted. RESULTS: Three conversions (4. 6%) were necessary. There were no postoperative mortalities. Nine postoperative complications occurred (17%); one of them (1.5%) was directly related to the operation and required reoperation. Patients passed flatus after 2.2 +/- 1.2 days (range, 1-9), and oral feeding was started after 2.6 +/- 1.3 days (range, 1-9). The hospital stay was 7.6 +/- 3 days (range, 5-19). No patient with >6 months of follow-up (40 patients) had any complaints related to diverticular disease. CONCLUSIONS: These results suggest that this procedure is as safe as the traditional approach and provides superior comfort and cosmesis with the same long-term outcome.
Authors: J L Bouillot; J C Berthou; G Champault; C Meyer; J P Arnaud; G Samama; D Collet; P Bressler; A Gainant; B Delaitre Journal: Surg Endosc Date: 2002-05-03 Impact factor: 4.584
Authors: R Gonzalez; C D Smith; S G Mattar; K R Venkatesh; E Mason; T Duncan; R Wilson; J Miller; B J Ramshaw Journal: Surg Endosc Date: 2003-12-29 Impact factor: 4.584