title: [Results of elective segmental colectomy done with laparoscopy for complicated diverticulosis].
abstract: OBJECTIVE
  To analyze a unicentric series of 100 consecutive elective laparoscopic colon resections for diverticular disease and to evaluate in intention to treat the early- and middle-term postoperative results.
  
  
  METHODS
  From February 1993 to March 1998, 100 colon resections for complicated diverticular disease were performed through laparoscopy with systematic mobilization of the splenic flexure and resection of the rectosigmoid junction. The colorectal anastomosis was stapled or manual without proximal stoma. In 53 females and 47 males (mean age 60.4 years), indications for surgery were: one or more attacks of acute diverticulitis (n = 70), abscess (n = 17), symptomatic stenosis (n = 8), colovesical fistula (n = 4) and diverticular bleeding (n = 1).
  
  
  RESULTS
  Mortality was nil. The conversion rate was 9%, never for anesthetic reasons. The mean operating time was 226 +/- 68 min. There was no splenic or ureteral injury. The morbidity at 30 days was 19% with fistulae rate accounting for 2%, 2 patients were reoperated on. The median time for passage of flatus was 3 days and median length of hospital stay was 7 days. Late morbidity was 10%, one patient complained of retrograde ejaculation.
  
  
  CONCLUSIONS
  This study demonstrates that laparoscopy is a safe alternative to laparotomy for elective one-stage colectomy for complicated diverticular disease.
authors.affiliation: Département Médico-Chirurgical de Pathologie Digestive, Institut Mutualiste Montsouris et Université Paris VI, 42, boulevard Jourdan, 75014 Paris.
authors.forename: T
authors.initials: T
authors.lastname: Perniceni
authors.forename: G
authors.initials: G
authors.lastname: Burdy
authors.forename: B
authors.initials: B
authors.lastname: Gayet
authors.forename: F
authors.initials: F
authors.lastname: Dubois
authors.forename: M J
authors.initials: MJ
authors.lastname: Boudet
authors.forename: H
authors.initials: H
authors.lastname: Levard
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003082:Colectomy / Q000379:methods*; D004241:Diverticulum, Colon / Q000150:complications / Q000601:surgery*; D017558:Elective Surgical Procedures; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D012810:Sigmoid Diseases / Q000150:complications / Q000601:surgery*