Abstract
Background: The feasibility of laparoscopic colectomy has now been established, but little attention has been paid to its indications. Therefore, we undertook a prospective study of the laparoscopic treatment of diverticular disease of the colon.
Methods; A total of 65 patients were operated on by a single surgeon between July 1993 and March 1998. Indications for operation included a previous acute attack of diverticulitis, abscess, or colovesical fistula. All procedures were laparoscopic-assisted.
Results: Three conversions (4.6%) were necessary. There were no postoperative mortalities. Nine postoperative complications occurred (17%); one of them (1.5%) was directly related to the operation and required reoperation. Patients passed flatus after 2.2 ± 1.2 days (range, 1–9), and oral feeding was started after 2.6 ± 1.3 days (range, 1–9). The hospital stay was 7.6 ± 3 days (range, 5–19). No patient with >6 months of follow-up (40 patients) had any complaints related to diverticular disease.
Conclusions: These results suggest that this procedure is as safe as the traditional approach and provides superior comfort and cosmesis with the same long-term outcome.
We’re sorry, something doesn't seem to be working properly.
Please try refreshing the page. If that doesn't work, please contact support so we can address the problem.
Author information
Authors and Affiliations
Additional information
Received: 28 May 1998/Accepted: 18 November 1998
Rights and permissions
About this article
Cite this article
Siriser, F. Laparoscopic-assisted colectomy for diverticular sigmoiditis . Surg Endosc 13, 811–813 (1999). https://doi.org/10.1007/s004649901106
Published:
Issue Date:
DOI: https://doi.org/10.1007/s004649901106