[Surgical therapy of sigmoid diverticulitis in elderly patients.--What decides against early elective resection].
The results of an offensive surgical approach to diverticulitis, aimed at early elective resection, have been analysed retrospectively for 377 patients. 36.9% of older patients (> 74 years, n = 65) showed significantly higher general complications than younger patients (< 75 years, n = 312) with 26.9% (p = 0.03); local complications (18.3% vs. 12.3%; old vs. young) and mortality (1.5% vs. 1%) were similar. Age over 74 years was not a risk factor for a high morbidity and mortality in multivariate analysis. In order patients a definitive treatment for diverticular disease is also possible with high and safe standards due to early elective resection without high morbidity and mortality.
Hansen
O
O
Abteilung für Chirurgie, Marien-Hospital, Düsseldorf.
Zarras
K
K
Graupe
F
F
Stock
W
W
D000368:Aged; D000369:Aged, 80 and over; D002423:Cause of Death; D004239:Diverticulitis, Colonic / Q000401:mortality / Q000601:surgery*; D017558:Elective Surgical Procedures; D015577:Geriatric Assessment; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000401:mortality; D012189:Retrospective Studies; D012307:Risk Factors; D012810:Sigmoid Diseases / Q000401:mortality / Q000601:surgery*; D015996:Survival Rate
Die chirurgische Therapie der Sigmadivertikulitis beim alten Menschen.--Was spricht gegen die frühe elektive Resektion?