Short-term outcomes after elective minimally invasive colectomy for diverticulitis

R. Pendlimari, J. G. Touzios, I. A. Azodo, H. K. Chua, Eric Dozois, R. R. Cima, David Larson

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Background: The role of minimally invasive surgery in complicated diverticulitis is still being elucidated. The aim of this study was to compare short-term outcomes in patients undergoing minimally invasive surgery for complicated or uncomplicated diverticular disease. Methods: All patients who had elective minimally invasive surgery for diverticulitis between 2003 and 2008 were identified from a prospectively maintained database. Complicated disease was defined as diverticulitis associated with abscess, fistula, stricture or bleeding. Univariable analysis was performed to compare safety and short-term outcomes in patients with complicated and uncomplicated diverticulitis. Results: A total of 361 patients (136 with complicated and 225 with uncomplicated diverticulitis) were operated on with either a laparoscopic (36·0 per cent) or a hand-assisted laparoscopic (64·0 per cent) surgical technique. There were no significant differences between the groups with respect to age, sex, body mass index, laparoscopic approach, postoperative recovery protocol or previous open surgery. Conversion rates were similar for complicated and uncomplicated disease (14·0 versus 11·6 per cent respectively; P = 0·514). There was no difference between the groups with respect to return of bowel function (mean 3·1 versus 3·2 days respectively; P = 0·156), morbidity (27·9 versus 19·6 per cent; P = 0·070) or mean length of stay (5·4 versus 4·8 days; P = 0·186). There were no deaths within 30 days. Conclusion: Elective minimally invasive colectomy is feasible for patients with uncomplicated and complicated diverticulitis, with equivalent outcomes.

Original languageEnglish (US)
Pages (from-to)431-435
Number of pages5
JournalBritish Journal of Surgery
Volume98
Issue number3
DOIs
StatePublished - Mar 2011

Fingerprint

Diverticulitis
Colectomy
Minimally Invasive Surgical Procedures
Abscess
Fistula
Length of Stay
Pathologic Constriction
Body Mass Index
Hand
Databases
Hemorrhage
Morbidity
Safety

ASJC Scopus subject areas

  • Surgery

Cite this

Short-term outcomes after elective minimally invasive colectomy for diverticulitis. / Pendlimari, R.; Touzios, J. G.; Azodo, I. A.; Chua, H. K.; Dozois, Eric; Cima, R. R.; Larson, David.

In: British Journal of Surgery, Vol. 98, No. 3, 03.2011, p. 431-435.

Research output: Contribution to journalArticle

Pendlimari, R. ; Touzios, J. G. ; Azodo, I. A. ; Chua, H. K. ; Dozois, Eric ; Cima, R. R. ; Larson, David. / Short-term outcomes after elective minimally invasive colectomy for diverticulitis. In: British Journal of Surgery. 2011 ; Vol. 98, No. 3. pp. 431-435.
@article{2b793398cd1f47e9910f5eb0c51356e3,
title = "Short-term outcomes after elective minimally invasive colectomy for diverticulitis",
abstract = "Background: The role of minimally invasive surgery in complicated diverticulitis is still being elucidated. The aim of this study was to compare short-term outcomes in patients undergoing minimally invasive surgery for complicated or uncomplicated diverticular disease. Methods: All patients who had elective minimally invasive surgery for diverticulitis between 2003 and 2008 were identified from a prospectively maintained database. Complicated disease was defined as diverticulitis associated with abscess, fistula, stricture or bleeding. Univariable analysis was performed to compare safety and short-term outcomes in patients with complicated and uncomplicated diverticulitis. Results: A total of 361 patients (136 with complicated and 225 with uncomplicated diverticulitis) were operated on with either a laparoscopic (36·0 per cent) or a hand-assisted laparoscopic (64·0 per cent) surgical technique. There were no significant differences between the groups with respect to age, sex, body mass index, laparoscopic approach, postoperative recovery protocol or previous open surgery. Conversion rates were similar for complicated and uncomplicated disease (14·0 versus 11·6 per cent respectively; P = 0·514). There was no difference between the groups with respect to return of bowel function (mean 3·1 versus 3·2 days respectively; P = 0·156), morbidity (27·9 versus 19·6 per cent; P = 0·070) or mean length of stay (5·4 versus 4·8 days; P = 0·186). There were no deaths within 30 days. Conclusion: Elective minimally invasive colectomy is feasible for patients with uncomplicated and complicated diverticulitis, with equivalent outcomes.",
author = "R. Pendlimari and Touzios, {J. G.} and Azodo, {I. A.} and Chua, {H. K.} and Eric Dozois and Cima, {R. R.} and David Larson",
year = "2011",
month = "3",
doi = "10.1002/bjs.7345",
language = "English (US)",
volume = "98",
pages = "431--435",
journal = "British Journal of Surgery",
issn = "0007-1323",
publisher = "John Wiley and Sons Ltd",
number = "3",

}

TY - JOUR

T1 - Short-term outcomes after elective minimally invasive colectomy for diverticulitis

AU - Pendlimari, R.

AU - Touzios, J. G.

AU - Azodo, I. A.

AU - Chua, H. K.

AU - Dozois, Eric

AU - Cima, R. R.

AU - Larson, David

PY - 2011/3

Y1 - 2011/3

N2 - Background: The role of minimally invasive surgery in complicated diverticulitis is still being elucidated. The aim of this study was to compare short-term outcomes in patients undergoing minimally invasive surgery for complicated or uncomplicated diverticular disease. Methods: All patients who had elective minimally invasive surgery for diverticulitis between 2003 and 2008 were identified from a prospectively maintained database. Complicated disease was defined as diverticulitis associated with abscess, fistula, stricture or bleeding. Univariable analysis was performed to compare safety and short-term outcomes in patients with complicated and uncomplicated diverticulitis. Results: A total of 361 patients (136 with complicated and 225 with uncomplicated diverticulitis) were operated on with either a laparoscopic (36·0 per cent) or a hand-assisted laparoscopic (64·0 per cent) surgical technique. There were no significant differences between the groups with respect to age, sex, body mass index, laparoscopic approach, postoperative recovery protocol or previous open surgery. Conversion rates were similar for complicated and uncomplicated disease (14·0 versus 11·6 per cent respectively; P = 0·514). There was no difference between the groups with respect to return of bowel function (mean 3·1 versus 3·2 days respectively; P = 0·156), morbidity (27·9 versus 19·6 per cent; P = 0·070) or mean length of stay (5·4 versus 4·8 days; P = 0·186). There were no deaths within 30 days. Conclusion: Elective minimally invasive colectomy is feasible for patients with uncomplicated and complicated diverticulitis, with equivalent outcomes.

AB - Background: The role of minimally invasive surgery in complicated diverticulitis is still being elucidated. The aim of this study was to compare short-term outcomes in patients undergoing minimally invasive surgery for complicated or uncomplicated diverticular disease. Methods: All patients who had elective minimally invasive surgery for diverticulitis between 2003 and 2008 were identified from a prospectively maintained database. Complicated disease was defined as diverticulitis associated with abscess, fistula, stricture or bleeding. Univariable analysis was performed to compare safety and short-term outcomes in patients with complicated and uncomplicated diverticulitis. Results: A total of 361 patients (136 with complicated and 225 with uncomplicated diverticulitis) were operated on with either a laparoscopic (36·0 per cent) or a hand-assisted laparoscopic (64·0 per cent) surgical technique. There were no significant differences between the groups with respect to age, sex, body mass index, laparoscopic approach, postoperative recovery protocol or previous open surgery. Conversion rates were similar for complicated and uncomplicated disease (14·0 versus 11·6 per cent respectively; P = 0·514). There was no difference between the groups with respect to return of bowel function (mean 3·1 versus 3·2 days respectively; P = 0·156), morbidity (27·9 versus 19·6 per cent; P = 0·070) or mean length of stay (5·4 versus 4·8 days; P = 0·186). There were no deaths within 30 days. Conclusion: Elective minimally invasive colectomy is feasible for patients with uncomplicated and complicated diverticulitis, with equivalent outcomes.

UR - http://www.scopus.com/inward/record.url?scp=79251521821&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79251521821&partnerID=8YFLogxK

U2 - 10.1002/bjs.7345

DO - 10.1002/bjs.7345

M3 - Article

C2 - 21254022

AN - SCOPUS:79251521821

VL - 98

SP - 431

EP - 435

JO - British Journal of Surgery

JF - British Journal of Surgery

SN - 0007-1323

IS - 3

ER -