Document Detail


Laparoscopic colectomy for sigmoid diverticulitis: a prospective study in the elderly.
MedLine Citation:
PMID:  11490796     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND/AIMS: The aim of this prospective study was to determine the feasibility and the complications or benefits of laparoscopic colectomy for sigmoid diverticulitis in patients aged 75 years or more. METHODOLOGY: From January 1993 to December 1999, 85 patients underwent an elective colectomy for sigmoid diverticulitis. Twenty-two patients over 75-years old (group 1) were compared to 63 younger patients (group 2). RESULTS: In group 1, there were 12 women and 10 men, with a mean age of 77.2 years (range: 75-82); In group 2, there were 35 women and 28 men, with a mean age of 53.7 years (range: 38-74) (P = 1.10-14). The operative time was shorter in group 2 (183 vs. 234 min). There was no difference between the 2 groups with regard to the postoperative period during which parenteral analgesics were required (5.4 vs. 5.2 days, P = 0.48) and the postoperative morbidity (18% vs. 14%, P = 0.06). Postoperative length of hospital stay (13.1 vs. 8.8 days, P = 0.003) was shorter in group 2 than in group 1. There was no perioperative mortality. Conversion rate was 9% (group 1) and 6% (group 2) (P = 0.6). CONCLUSIONS: In summary, data from the present study suggest that laparoscopic colectomy for sigmoid diverticulitis can be applied safely to older patients with fewer complications, less pain, shorter hospital stay and a rapid return to preoperative activity levels.
Authors:
J J Tuech; P Pessaux; N Regenet; C Rouge; S Hennekinne; R Bergamaschi; J P Arnaud
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hepato-gastroenterology     Volume:  48     ISSN:  0172-6390     ISO Abbreviation:  Hepatogastroenterology     Publication Date:    2001 Jul-Aug
Date Detail:
Created Date:  2001-08-08     Completed Date:  2001-12-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8007849     Medline TA:  Hepatogastroenterology     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  1045-7     Citation Subset:  IM    
Affiliation:
Dept of Digestive Surgery, Angers University Hospital, 4 rue Larrey, 49000 Angers, France.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Colectomy / adverse effects,  methods*
Diverticulitis, Colonic / surgery*
Feasibility Studies
Female
Humans
Laparoscopy*
Male
Middle Aged
Prospective Studies
Sigmoid Diseases / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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