Colectomie élective laparoscopique pour sigmoïdite diverticulaire. Étude prospective de 56 cas

Abstract

Elective laparoscopic-assisted sigmoidectomy for diverticulitis. Prospective study of 56 cases. Objective: The aim of this prospective study was to assess the feasability and postoperative advantages of the laparoscopic-assisted elective colectomy for diverticular disease. Patients and methods: From january 1989 to december 1997, among the 114 patients electively operated on for diverticulitis, 56 patients were treated by laparoscopic approach. Evaluated parameters included: gender, age, weight, size, ASA score, operating time, duration of hospital stay, of analgesic treatment, and of postoperative ileus, morbidity and mortality rate. Results: The study group consisted of 35 women and 21 men. Mean age was 59 years (34–81 years); 29 patients were ASA 1 and 27 ASA 2. Overall postoperative mortality rate was 0% and morbidity rate 16 % ( n = 9). There were no complications directly related to laparoscopic technique.The conversion rate was 14 % ( n = 8). Mean operating time was 300 min (200–600 min). Mean duration of postoperative ileus was 2.4 days. Mean duration of hospital stay was 9.4 days. Conclusion: This study demonstrates the feasability of elective laparoscopic-assisted colonic resection for diverticular disease in more than 80% of cases with a postoperative morbidity and mortality rate comparable to those of conventional surgery.