Laparoscopic Resection of Chronic Sigmoid Diverticulitis with Fistula
| Autor: | Maher A. Abbas, Mohammad Ali Abbass, Anna T. Tsay |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
medicine.medical_specialty Colonic Fistula Fistula Colonic Diseases Sigmoidectomy Intestinal Fistula Scientific Papers medicine Humans Laparoscopic resection Laparoscopy Digestive System Surgical Procedures Diverticulitis Aged Retrospective Studies Colonic fistula Aged 80 and over Sigmoid Diseases medicine.diagnostic_test business.industry Retrospective cohort study Sigmoid function Middle Aged medicine.disease Surgery Chronic Disease Sigmoid diverticulitis Ureteral Catheters business |
| Zdroj: | JSLS : Journal of the Society of Laparoendoscopic Surgeons |
| ISSN: | 1938-3797 1086-8089 |
| Popis: | This study indicates that patients with sigmoid diverticulitis and fistula may be successfully treated by laparoscopic excision with outcomes similar to patients without fistula. Background and Objectives: A growing number of operations for sigmoid diverticulitis are being done laparoscopically. There is a paucity of data on the outcome of laparoscopy for sigmoid diverticulitis complicated by colonic fistula. The aim of this study was to compare the results of laparoscopic resection of sigmoid diverticulitis with and without colonic fistula. Methods: A retrospective review was conducted of all patients who underwent laparoscopic resection of sigmoid diverticulitis complicated by fistula at a single tertiary care institution over a 7-year period. Comparison was made with a group of patients who underwent resection for diverticulitis without fistula during the same study period. Results: Forty-two patients were analyzed (group 1: diverticular fistula, group 2: no fistula). The median age was similar (49 vs. 50 years, P = .68). A chronic abscess was present in 24% of patients in group 1 and 10% in group 2 (P = .40). Fistula types were colovesical (71%), colovaginal (19%), and colocutaneous (10%). Operation types were sigmoidectomy (57% vs. 81%) and anterior resection (43% vs. 19%) in groups 1 and 2, respectively (P = .18). Ureteral catheters were used more frequently in group 1 (67% vs. 33% [P = .06]). No difference was noted in operative time, blood loss, conversion rate, length of stay, overall complications, wound infection rate, readmission rate, reoperation rate, and mortality. All patients healed without fistula recurrence. Conclusions: Patients with sigmoid diverticulitis with fistula can be successfully treated with laparoscopic excision, with similar outcomes for patients without fistula. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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