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Elective laparoscopic recto-sigmoid resection for diverticular disease is suitable as a training operation
PURPOSE: Some authors state that elective laparoscopic recto-sigmoid resection is more difficult for diverticular disease as compared with malignancy. For this reason, starting laparoscopic surgeons might avoid diverticulitis, making the implementation phase unnecessary long. The aim of this study w...
Autores principales: | , , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
Springer-Verlag
2010
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2830626/ https://www.ncbi.nlm.nih.gov/pubmed/20145937 http://dx.doi.org/10.1007/s00384-010-0875-z |
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author | Bosker, Robbert Hoogenboom, Froukje Groen, Henk Hoff, Christiaan Ploeg, Rutger Pierie, Jean-Pierre |
author_facet | Bosker, Robbert Hoogenboom, Froukje Groen, Henk Hoff, Christiaan Ploeg, Rutger Pierie, Jean-Pierre |
author_sort | Bosker, Robbert |
collection | PubMed |
description | PURPOSE: Some authors state that elective laparoscopic recto-sigmoid resection is more difficult for diverticular disease as compared with malignancy. For this reason, starting laparoscopic surgeons might avoid diverticulitis, making the implementation phase unnecessary long. The aim of this study was to determine whether laparoscopic resection for diverticular disease should be included during the implementation phase. METHODS: All consecutive patients who underwent an elective laparoscopic recto-sigmoid resection in our hospital for diverticulitis or cancer from 2003 to 2007 were analysed. RESULTS: A total of 256 consecutive patients were included in this prospective cohort study. One hundred and fifty-one patients were operated on for diverticulitis and 105 for cancer. There was no significant difference in operation time (168 vs. 172 min), blood loss (189 vs. 208 ml), conversion rates (9.9% vs. 11.4%), hospital stay (8 vs. 8 days), total number of peroperative (2.3% vs. 1.6%) or postoperative complications (21.9% vs. 26.9%). The occurrence of anastomotic leakages was associated with higher American Society of Anesthesiologists (ASA) classification, which differed between the groups (86.8% vs. 64.8% ASA I–II, p < 0.001). CONCLUSION: Since there are no differences in operation time, blood loss, conversion rate and total complications, there is no need to avoid laparoscopic recto-sigmoid resection for diverticular disease early in the learning curve. |
format | Text |
id | pubmed-2830626 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | Springer-Verlag |
record_format | MEDLINE/PubMed |
spelling | pubmed-28306262010-03-15 Elective laparoscopic recto-sigmoid resection for diverticular disease is suitable as a training operation Bosker, Robbert Hoogenboom, Froukje Groen, Henk Hoff, Christiaan Ploeg, Rutger Pierie, Jean-Pierre Int J Colorectal Dis Original Article PURPOSE: Some authors state that elective laparoscopic recto-sigmoid resection is more difficult for diverticular disease as compared with malignancy. For this reason, starting laparoscopic surgeons might avoid diverticulitis, making the implementation phase unnecessary long. The aim of this study was to determine whether laparoscopic resection for diverticular disease should be included during the implementation phase. METHODS: All consecutive patients who underwent an elective laparoscopic recto-sigmoid resection in our hospital for diverticulitis or cancer from 2003 to 2007 were analysed. RESULTS: A total of 256 consecutive patients were included in this prospective cohort study. One hundred and fifty-one patients were operated on for diverticulitis and 105 for cancer. There was no significant difference in operation time (168 vs. 172 min), blood loss (189 vs. 208 ml), conversion rates (9.9% vs. 11.4%), hospital stay (8 vs. 8 days), total number of peroperative (2.3% vs. 1.6%) or postoperative complications (21.9% vs. 26.9%). The occurrence of anastomotic leakages was associated with higher American Society of Anesthesiologists (ASA) classification, which differed between the groups (86.8% vs. 64.8% ASA I–II, p < 0.001). CONCLUSION: Since there are no differences in operation time, blood loss, conversion rate and total complications, there is no need to avoid laparoscopic recto-sigmoid resection for diverticular disease early in the learning curve. Springer-Verlag 2010-02-10 2010 /pmc/articles/PMC2830626/ /pubmed/20145937 http://dx.doi.org/10.1007/s00384-010-0875-z Text en © The Author(s) 2010 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. |
spellingShingle | Original Article Bosker, Robbert Hoogenboom, Froukje Groen, Henk Hoff, Christiaan Ploeg, Rutger Pierie, Jean-Pierre Elective laparoscopic recto-sigmoid resection for diverticular disease is suitable as a training operation |
title | Elective laparoscopic recto-sigmoid resection for diverticular disease is suitable as a training operation |
title_full | Elective laparoscopic recto-sigmoid resection for diverticular disease is suitable as a training operation |
title_fullStr | Elective laparoscopic recto-sigmoid resection for diverticular disease is suitable as a training operation |
title_full_unstemmed | Elective laparoscopic recto-sigmoid resection for diverticular disease is suitable as a training operation |
title_short | Elective laparoscopic recto-sigmoid resection for diverticular disease is suitable as a training operation |
title_sort | elective laparoscopic recto-sigmoid resection for diverticular disease is suitable as a training operation |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2830626/ https://www.ncbi.nlm.nih.gov/pubmed/20145937 http://dx.doi.org/10.1007/s00384-010-0875-z |
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