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Artículo en Inglés | MEDLINE | ID: mdl-24437073

RESUMEN

BACKGROUND: Diverticular disease of the left colon is a common disease, mainly in the population over 50 years of age. The surgical management of acute diverticulitis is remains controversial, especially in severe forms. OBJECTIVE: This study aimed to evaluate the results of laparoscopic surgery for diverticular disease in a tertiary care institution with a specialist interest in minimally invasive surgery. DESIGN: All patients who had elective laparoscopic sigmoidectomy for diverticulitis within eight years at University Hospital of Luxembourg were selected from a retrospective database to evaluate laparoscopic benefit in moderate and severe disease. RESULTS: A total of 155 patients were divided in two groups: Moderate Acute Diverticulitis (MAD) and Severe Acute Diverticulitis (SAD) respectively. The short-term outcomes, after laparoscopic sigmoidectomy, were evaluated. There were not important differences between two groups. CONCLUSIONS: The laparoscopic management of diverticular disease after moderate and severe crisis gives same benefits and short-term outcomes are similar. Elective Laparoscopic surgery is actually the standard of care for moderate and severe diverticular disease in our institution.


Asunto(s)
Colon Sigmoide/patología , Colon Sigmoide/cirugía , Diverticulitis del Colon/diagnóstico , Diverticulitis del Colon/cirugía , Laparoscopía , Enfermedad Aguda , Adulto , Anciano , Anciano de 80 o más Años , Conversión a Cirugía Abierta , Diverticulitis del Colon/patología , Procedimientos Quirúrgicos Electivos/métodos , Femenino , Hospitales Universitarios , Humanos , Laparoscopía/métodos , Tiempo de Internación , Luxemburgo , Masculino , Persona de Mediana Edad , Readmisión del Paciente , Reoperación , Estudios Retrospectivos , Factores de Riesgo , Índice de Severidad de la Enfermedad , Sigmoidoscopía , Resultado del Tratamiento
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