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Clinical outcomes of laparoscopic colonic resection for diverticular disease in Japanese patients
Author(s) -
Akagi T,
Inomata M,
Etoh T,
Yasuda K,
Shiraishi N,
Kitano S
Publication year - 2010
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/j.1758-5910.2010.00046.x
Subject(s) - medicine , diverticulitis , diverticular disease , surgery , diverticulosis , blood loss , laparoscopy , colon resection , resection , laparoscopic surgery , disease , general surgery , colectomy , ulcerative colitis
Indications for laparoscopic surgery for colonic diverticular disease have not been established in Japan despite this being a relatively common disease. We studied surgical outcomes of laparoscopic colon resection (LCR) versus open colon resection (OCR) for diverticular disease. Methods: We retrospectively reviewed surgical outcomes of 21 patients with colonic diverticulitis. Results: Of these 21 patients, 11 underwent OCR, and 10 underwent LCR. There were no differences in age, sex, and BMI between the groups. Diverticulitis in the LCR group, compared to the OCR group, was characterized as being of the uncomplicated type with a right‐side location ( P <0.01). Volume of blood loss and duration of postoperative hospital stay were less in the LCR group than in the OCR group ( P <0.05). There were no significant differences in operative times, duration to start of solid food intake, and rate of postoperative complications. Conclusion: These results suggest that LCR for diverticulitis can be performed safely and less invasively without increased morbidity for uncomplicated diverticulitis. Further studies will be needed to determine the benefits of LCR for complicated diverticulitis.