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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...

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Autores principales: Bosker, Robbert, Hoogenboom, Froukje, Groen, Henk, Hoff, Christiaan, Ploeg, Rutger, Pierie, Jean-Pierre
Formato: Texto
Lenguaje:English
Publicado: Springer-Verlag 2010
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.
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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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