Resezioni coliche laparoscopiche per malattia diverticolare Risultati da un database prospettico


Daniela Baldoli, Flavia Musco, Marco Scalambra, Fabrizio Balsamo, Andrea Galli e Carlo Rebuffat

Ann. Ital. Chir., 2006; 77: 401-405

La mia nuova descrizione qui!

Price of a print issue €25.00

AIM OF STUDY: To evaluate the outcome of laparoscopic surgery in patients affected by colonic diverticulitis.
MATERIALS AND METHODS: A prospective database was established in 1998 at our department to evaluate the results of
laparoscopic treatment for diverticular disease. Contraindications to laparoscopic approach were: intestinal obstruction,
faecal peritonitis, previuos major abdominal operations, presence of abdominal mass.
Parameters evaluated were: indications to operation, age, sex, weight, type of operation, associated operations, operation
time, conversion rate, mortality, post-operative complications, postoperative hospital stay, return to normal bowel function,
time of removing nasogastric tube and time of restarting oral feeding.
RESULTS: From 1998 to 2005, 109 patients operated for diverticular disease were registered. The operation was performed
in 17 cases (15.5%) with open technique, in 20 cases (18.5%) throught video-assisted approach with extracorporeal
anastomosis and in 72 cases (66%) with laparoscopic approach making intracorporeal anastomosis.
The conversion rate was 10.8%. Mortality was 0%. In videolaparoscopic group mean operating time was 177 minutes,
major complications were 4 (6.3%), minor complications were 6 (9.5%) and mean hospital stay was 7.8 days. In
videoassisted group minor operation time was 158 minutes, complications were 9 (47.3%) and mean hospital stay was
10.1 days.
CONCLUSIONS: Laparoscopic approach to diverticular disease of the colon is, in selected cases, a safe, feasible and effective