Background: The aim of our study was to evaluate the treatment in patients diagnosed with acute symptomatic uncomplicated diverticulosis, uncomplicated acute recurrent diverticulitis or symptomatic acute complicated diverticulitis. METHODS: The data analysis allowed to divide 33 patients into different groups depending on the diagnosis according Hinchey's classifcation, evaluating the treatment (medical, surgical conservative/demolitive) and the surgical approach (open vs. laparoscopy). rESuLTS: We evaluated the duration of hospital stay, morbidity and mortality. We recorded similar results in terms of morbidity and mortality for the two types of surgical approach. We calculated operative times longest and reduced days of hospitalization in patients operated on laparoscopy. CONCLuSiONS: Based on our experience, the laparoscopic approach allows to obtain the same rates of perioperative morbidity and mortality, reducing surgical trauma, postoperative pain, ileus, resulting in a better cosmetic result, an earlier discharge and a more rapid return to work activities.

Approccio laparotomico vs. laparoscopico nella terapia chirurgica della malattia diverticolare del colon

Pezzolla A.;Pascazio B.;Milella M.;Lattarulo S.;Fabiano G.;Palasciano N.
2017

Abstract

Background: The aim of our study was to evaluate the treatment in patients diagnosed with acute symptomatic uncomplicated diverticulosis, uncomplicated acute recurrent diverticulitis or symptomatic acute complicated diverticulitis. METHODS: The data analysis allowed to divide 33 patients into different groups depending on the diagnosis according Hinchey's classifcation, evaluating the treatment (medical, surgical conservative/demolitive) and the surgical approach (open vs. laparoscopy). rESuLTS: We evaluated the duration of hospital stay, morbidity and mortality. We recorded similar results in terms of morbidity and mortality for the two types of surgical approach. We calculated operative times longest and reduced days of hospitalization in patients operated on laparoscopy. CONCLuSiONS: Based on our experience, the laparoscopic approach allows to obtain the same rates of perioperative morbidity and mortality, reducing surgical trauma, postoperative pain, ileus, resulting in a better cosmetic result, an earlier discharge and a more rapid return to work activities.
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11586/277152
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