François Letarte1, Julie Hallet2, Sébastien Drolet3, Cindy Boulanger-Gobeil4, Alexandre Bouchard3, Roger C Grégoire3, Jean-Pierre Gagné3, Claude Thibault3, Philippe Bouchard3. 1. Department of Surgery, Université Laval, Québec, QC, Canada. Electronic address: fletarte1@gmail.com. 2. Division of General Surgery, University of Toronto, Toronto, ON, Canada. 3. Department of Surgery, Université Laval, Québec, QC, Canada; Department of Surgery, CHU de Québec - Hôpital Saint-François d'Assise, Québec Centre for Minimally Invasive Surgery, 10 Rue de l'Espinay, Québec, QC, Canada. 4. Department of Surgery, Université Laval, Québec, QC, Canada.
Abstract
BACKGROUND: We conducted a retrospective cohort study to compare the outcomes of laparoscopic colon resection (LCR) with open colon resection (OCR) for complicated diverticular disease (CDD) during emergent hospital admission. METHODS: Charts from all patients undergoing colon resection for CDD during emergent hospital admission at a single academic institution were reviewed. The primary outcomes were overall 30-day postoperative morbidity and mortality. RESULTS: From 2000 to 2010, 125 cases were retrieved (49 LCR and 86 OCR). Conversion rate was 5.1%. Overall morbidity significantly decreased with laparoscopic surgery compared with OCR. No mortality occurred with LCR. Prolonged ileus was less frequent (12.8% vs. 32.6%; P = .02), time to oral intake shorter (3 vs. 6 days; P < .01), and LOS shorter (5 vs. 8 days; P = .05) for LCR. CONCLUSIONS: In our series, in the patients selected, LCR for CDD during emergent hospital admission appears to be a safe procedure associated with decreased morbidity, time to oral intake, and LOS compared with OCR. Crown
BACKGROUND: We conducted a retrospective cohort study to compare the outcomes of laparoscopic colon resection (LCR) with open colon resection (OCR) for complicated diverticular disease (CDD) during emergent hospital admission. METHODS: Charts from all patients undergoing colon resection for CDD during emergent hospital admission at a single academic institution were reviewed. The primary outcomes were overall 30-day postoperative morbidity and mortality. RESULTS: From 2000 to 2010, 125 cases were retrieved (49 LCR and 86 OCR). Conversion rate was 5.1%. Overall morbidity significantly decreased with laparoscopic surgery compared with OCR. No mortality occurred with LCR. Prolonged ileus was less frequent (12.8% vs. 32.6%; P = .02), time to oral intake shorter (3 vs. 6 days; P < .01), and LOS shorter (5 vs. 8 days; P = .05) for LCR. CONCLUSIONS: In our series, in the patients selected, LCR for CDD during emergent hospital admission appears to be a safe procedure associated with decreased morbidity, time to oral intake, and LOS compared with OCR. Crown
Authors: Rachelle N Damle; Julie M Flahive; Jennifer S Davids; W Brian Sweeney; Paul R Sturrock; Justin A Maykel; Karim Alavi Journal: J Gastrointest Surg Date: 2016-02 Impact factor: 3.452
Authors: Daniël P V Lambrichts; Arianna Birindelli; Valeria Tonini; Roberto Cirocchi; Maurizio Cervellera; Johan F Lange; Willem A Bemelman; Salomone Di Saverio Journal: Inflamm Intest Dis Date: 2018-02-16