title: Use and outcomes of emergent laparoscopic resection for acute diverticulitis.
abstract: BACKGROUND
  The use and outcomes of laparoscopic sigmoid resection during emergency admissions for diverticulitis are unknown.
  
  
  METHODS
  The Nationwide Inpatient Sample was queried for colorectal resections performed for diverticulitis during emergent hospital admissions (2003-2007). Univariate and multivariate analyses including patient, hospital, and outcome variables were performed.
  
  
  RESULTS
  A national estimate of 67,645 resections (4% laparoscopic) was evaluated. The rate of conversion to open operation was 55%. Ostomies were created in 66% of patients, 67% open and 41% laparoscopic. Laparoscopy was not a predictor of mortality (odds ratio [OR] =.70; confidence interval [CI], .32-1.53). Laparoscopy predicted routine discharge (OR = 1.31; CI, 1.06-1.63) and a decreased length of stay (absolute days = -.78; CI, -1.19 to -.37). There was no difference in the cost of hospitalization between the 2 groups (P = .45).
  
  
  CONCLUSIONS
  In acute diverticulitis, urgent laparoscopic resection decreases the length of stay. However, it is associated with a high conversion rate, no cost savings, and no difference in mortality.
authors.affiliation: Department of Surgery, Oregon Health & Science University, Mail Code L223, 3181 SW Sam Jackson Park Road, Portland, OR 97239-3098, USA.
authors.forename: Jennifer D
authors.initials: JD
authors.lastname: Rea
authors.affiliation: Department of Surgery, Oregon Health & Science University, Mail Code L223, 3181 SW Sam Jackson Park Road, Portland, OR 97239-3098, USA.
authors.forename: Daniel O
authors.initials: DO
authors.lastname: Herzig
authors.affiliation: Department of Surgery, Oregon Health & Science University, Mail Code L223, 3181 SW Sam Jackson Park Road, Portland, OR 97239-3098, USA.
authors.forename: Brian S
authors.initials: BS
authors.lastname: Diggs
authors.affiliation: Department of Surgery, Oregon Health & Science University, Mail Code L223, 3181 SW Sam Jackson Park Road, Portland, OR 97239-3098, USA.
authors.forename: Molly M
authors.initials: MM
authors.lastname: Cone
authors.affiliation: Department of Surgery, Oregon Health & Science University, Mail Code L223, 3181 SW Sam Jackson Park Road, Portland, OR 97239-3098, USA. Electronic address: luk@ohsu.edu.
authors.forename: Kim C
authors.initials: KC
authors.lastname: Lu
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D004239:Diverticulitis, Colonic / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D016896:Treatment Outcome; D055815:Young Adult