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Laparoscopic Resection of Chronic Sigmoid Diverticulitis with Fistula
- Source :
- JSLS : Journal of the Society of Laparoendoscopic Surgeons
- Publication Year :
- 2013
- Publisher :
- The Society of Laparoscopic and Robotic Surgeons, 2013.
-
Abstract
- This study indicates that patients with sigmoid diverticulitis and fistula may be successfully treated by laparoscopic excision with outcomes similar to patients without fistula.<br />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.
- Subjects :
- 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
Subjects
Details
- ISSN :
- 19383797 and 10868089
- Volume :
- 17
- Database :
- OpenAIRE
- Journal :
- JSLS : Journal of the Society of Laparoendoscopic Surgeons
- Accession number :
- edsair.doi.dedup.....d41c6a3c796c5f6f165792e3e7189097