Functional results following elective laparoscopic sigmoidectomy after CT-proven diagnosis of acute diverticulitis evaluation of 43 patients and review of the literature

Article Article scientifique Article Functional results following elective laparoscopic sigmoidectomy after CT-proven diagnosis of acute diverticulitis evaluation of 43 patients and review of the literature eng 2007 author Ambrosetti Patrick 30238 author Francis Karim Mohamed 65902 author Weintraub Dominique author Weintraub Jonathan 639411 767-772 10.1007/s11605-007-0138-7 17417713 1091-255X We performed a prospective study to analyze the functional results following elective laparoscopic sigmoidectomy for computed tomography (CT)-proven diagnosis of acute diverticulitis and review the literature. Forty-three of 45 available patients (96%) who had laparoscopic sigmoidectomy for CT-proven acute diverticulitis answered, after a mean time of 40 months, a questionnaire exploring new abdominal symptoms, bowel function, and the patient's own judgement of the surgical outcome. Surgical technique aimed at removing all the sigmoid by taking down the splenic flexure and do a colorectal anastomosis. Four patients (9%) complained of new abdominal pain. Bowel function was reported as better for 24 patients (56%), unchanged for 16 patients (37%), and worse for 3 (7%). Twenty patients (47%) considered their final result as excellent to good, 17 patients (40%) as satisfying, and 6 patients (13%) as mediocre. Male gender, absence of preoperative history compatible with an irritable bowel syndrome, length of resected sigmoid and residual acute inflammation on histology are statistically predictive of a better postoperative degree of satisfaction. After elective laparoscopic sigmoidectomy for CT-proven diverticulitis, a great majority of patients are very satisfied with their postoperative general comfort. Acute Disease Colectomy Colon, Sigmoid/surgery Diverticulitis, Colonic/radiography/surgery Female Humans Laparoscopy Male Middle Aged Patient Satisfaction Prospective Studies Questionnaires Recovery of Function Surgical Procedures, Elective Tomography, X-Ray Computed Treatment Outcome Dewey 617 57 Département de chirurgie 222 false 79 Chirurgie viscérale 104 1329 Chirurgie viscérale (HUG) Journal of gastrointestinal surgery 11 6 b7ae7e69-45af-416c-9a52-f17a033467a5 Article (Published version) Restricted art%3A10.1007%2Fs11605-007-0138-7.pdf 129482 application/pdf restrictedAccess Faculté de médecine / Section de médecine clinique / Département de chirurgie

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Functional results following elective laparoscopic sigmoidectomy after CT-proven diagnosis of acute diverticulitis evaluation of 43 patients and review of the literature	Journal of gastrointestinal surgery			2007	742	0

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Weintraub, Jonathan