[Surgical therapy of inflammatory bowel diseases: ulcerative colitis--diverticulitis. Surgical choices in diverticulitis--conventional or laparoscopic surgery?].
There are no prospective randomized studies available to decide which surgical approach should be superior to treat sigmoid diverticulosis. Analysis of clinical studies evaluating laparoscopic or conventional surgery are presenting results as follows: for elective surgery morbidity ranges between 12-20% and mortality rates between 0-2% indicating comparable complication rates. For emergency operations only data from open surgery are available, with morbidity of 33-57% and mortality rates of 7-16%. Advantages of conventional approach are availability, reliability of the surgical technique and there is no patient selection required. Laparoscopic access may offer superior patients comfort and reduce cost, length of hospital stay and resocialisation. It remains to be proven, which approach may be the option of choice in the future, while this surgical technique is still developing.
Schönleben
K
K
Chirurgische Klinik, Klinikum der Stadt Ludwigshafen, Bremserstr. 79, 67063 Ludwigshafen am Rhein.
Kramer
K
K
D004239:Diverticulitis, Colonic / Q000401:mortality / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D010043:Outcome and Process Assessment, Health Care; D011183:Postoperative Complications / Q000209:etiology* / Q000401:mortality; D012810:Sigmoid Diseases / Q000401:mortality / Q000601:surgery*; D015996:Survival Rate
Chirurgische Therapie entzündlicher Darmerkrankungen: Colitis ulcerosa--Divertikulitis. Operative Verfahrenswahl bei Divertikelkrankheit--Konventionell oder laparoskopisch?