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Surgical Endoscopy

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01-09-2004 | Original article

Laparoscopic treatment of sigmoid diverticulitis: a retrospective review of 103 cases

Authors: R. Pugliese, S. Di Lernia, F. Sansonna, I. Scandroglio, D. Maggioni, C. Ferrari, A. Costanzi, O. Chiara

Published in: Surgical Endoscopy | Issue 9/2004

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 IIa were drained percutaneously before surgery. Patients with Hinchey III 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. Intraoperative 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 IIb patients treated for colovescical fistula. No mortality was observed.

Conclusions:

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.

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Title: Laparoscopic treatment of sigmoid diverticulitis: a retrospective review of 103 cases
Authors: R. Pugliese
S. Di Lernia
F. Sansonna
I. Scandroglio
D. Maggioni
C. Ferrari
A. Costanzi
O. Chiara
Publication date: 01-09-2004
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 9/2004
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-003-9178-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Laparoscopic treatment of sigmoid diverticulitis: a retrospective review of 103 cases

Abstract

Background:

Methods:

Results:

Conclusions:

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background:

Methods:

Results:

Conclusions:

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