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Title

Functional results following elective laparoscopic sigmoidectomy after CT-proven diagnosis of acute diverticulitis evaluation of 43 patients and review of the literature
Authors
Ambrosetti, Patrick
Francis, Karim Mohamed
Weintraub, Dominique
Weintraub, Jonathan
Published in Journal of Gastrointestinal Surgery. 2007, vol. 11, no. 6, p. 767-72
Abstract 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.
Keywords 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
Identifiers
PMID: 17417713
Full text
Article (Published version) (126 Kb) - document accessible for UNIGE members only Limited access to UNIGE
Structures
Faculté de médecine / Section de médecine clinique / Département de chirurgie
Research groups Chirurgie viscérale (104)
Chirurgie viscérale (HUG)
Citation
(ISO format) 		AMBROSETTI, Patrick et al. Functional results following elective laparoscopic sigmoidectomy after CT-proven diagnosis of acute diverticulitis evaluation of 43 patients and review of the literature. In: Journal of Gastrointestinal Surgery, 2007, vol. 11, n° 6, p. 767-72. doi: 10.1007/s11605-007-0138-7 https://archive-ouverte.unige.ch/unige:34506

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Deposited on : 2014-02-27

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