Right-sided acute diverticulitis: A single Western center experience
| Autor: | Maurizio Cervellera, Valeria Tonini, Samuele Vaccari, Francesco Monari, Umberto D'errico, Laura Alberici, Basilio Pirrera |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Disease Left sided Diverticulitis Colonic 03 medical and health sciences 0302 clinical medicine Postoperative results Humans Medicine Aged Acute diverticulitis business.industry General surgery General Medicine Length of Stay Middle Aged Right-Sided Diverticulitis medicine.disease Surgery 030220 oncology & carcinogenesis Acute Disease Diverticular disease Asian population Female Laparoscopy 030211 gastroenterology & hepatology business |
| Zdroj: | International Journal of Surgery. 44:128-131 |
| ISSN: | 1743-9191 |
| Popis: | Right sided diverticular disease is a rare condition in Western countries whereas is common amongst Asian population. The aim of this study is to evaluate options and outcomes for the treatment of right colonic diverticulitis.We included only patients undergoing surgery with right colon diverticulitis (RCD) proven at histological specimen examination from September 2011 to December 2016.We performed 18 operations for RCD. Age was lower compared to left sided disease (49 ± 16 vs 67 ± 14; P 0.001). Three patients were Asian (16.7%). RCD was diagnosed preoperatively in 8 cases (44.4%), whereas appendicitis was suspected in 9 cases (50%) and neoplasm in one (5.6%). We performed resection with anastomosis in 13 patients (72.2%) and in 5 cases we performed a diverticulectomy. Laparoscopy was performed in 14 cases (77.8%). Postoperative morbidity occurred in 3 patients (16.7%; grade 2 or 3a according to Clavien-Dindo) with no mortality. No postoperative events occured after diverticulectomy with shorter hospital stay (4 ± 1.5 vs 11 ± 13; P = 0.022), as no recurrence or need for elective surgery after a mean follow-up of 20 months.RCD is a rare but not irrelevant condition. Minimally invasive surgery is often feasible and complication rate is low. In selected patients, diverticulectomy can be a valid alternative to treat this condition providing improved postoperative results. |
| Databáze: | OpenAIRE |
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