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- Title
Laparoscopic treatment of sigmoid diverticulitis.
- Authors
Pugliese, R.; Lernia, S. Di; Sansonna, F.; Scandroglio, I.; Maggioni, D.; Ferrari, C.; Costanzi, A.; Chiara, O.
- Abstract
Background: Laparoscopic treatment of sigmoid diverticulitis is commonly accepted in Hinchey cases I and II, whereas it is debated in the case of purulent peritonitis, and not indicated for fecal peritonitis. Methods: A single-center experience of 103 patients treated for Hinchey I-III sigmoid diverticulitis was reviewed. One-stage laparoscopic resection and primary anastomosis constituted the planned procedure. Abscesses in patients with Hinchey Ha were drained percutaneously before surgery. Patients with Hinchey Ill underwent surgery in emergency. A four-trocar approach with left iliac fossa minilaparotomy was used. Fistulas were treated laparoscopically with Harmonic Scalpel dissection. Results: Laparoscopic treatment was successfully completed for 100 patients. lntraoperative complications occurred in 2.9% of the cases. Postoperative procedure-related morbidity was 8%, occurring mainly in Hinchey I patients. A longer hospital stay was recorded among Hinchey lIb patients treated for colovescical fistula. No mortality was observed. ConcIusions: Laparoscopic surgery for sigmoid diverticulitis in experienced hands can be a safe and effective gold standard procedure also for patients with fistula or purulent peritonitis.
- Subjects
DIVERTICULITIS; LAPAROSCOPIC surgery; ENDOSCOPIC surgery; COLON diseases; DIVERTICULOSIS; PROCTOLOGY
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2004, Vol 18, Issue 9, p1344
- ISSN
1866-6817
- Publication type
Article
- DOI
10.1007/s00464-003-9178-6