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Surgical treatment of complicated right colonic diverticulitis: laparoscopic versus open surgery
Surgical Endoscopy, 05/04/2012
Kwon JW et al. – The laparoscopic approach to complicated right colonic diverticulitis may be feasible. The clinical outcomes were comparable with those for open surgery.
Methods- Between 1999 and 2011, 59 patients who underwent extensive surgery for complicated right colonic diverticulitis were enrolled from two hospitals.
- All the patients were suspected of having a large abscess or perforation with peritonitis symptoms preoperatively.
- Laparoscopic surgery was performed for 28 consecutive patients in the one hospital, and open surgery was performed for 31 consecutive patients in the other hospital.
- There was no conversion in the laparoscopic surgery cases.
- Clinical outcomes were analyzed and compared between the two groups.
- Laparoscopic surgery had a longer operating time (165 min) than open surgery (132 min) (p = 0.003).
- The two groups did not differ significantly in terms of postoperative hospital stay (laparoscopy 9.8 ± 2.7 days versus open surgery 12.8 ± 8.8 days; p = 0.234) or resumption of diet (laparoscopy 5.5 ± 2.4 days versus open surgery 6.3 ± 3.0 days; p = 0.286).
- Five patients in the laparoscopy group (17.8 %) had complications such as ileus, abscess, and bleeding, one of whom was treated with surgery.
- Nine patients in the open surgery group (29 %) had complications, two of whom were treated with surgery.
