Analysis of surgical outcomes of diverticular disease of the colon.
We analyzed retrospectively the surgical outcomes of diverticular diseases of the colon at the surgical division of Fukuyama Medical Center. Data were collected from 39 patients who underwent surgery for diverticular disease at Fukuyama Medical Center. Thirty-nine patients were admitted between 2005 and 2010. The mean age of the 39 patients was 63.6 years. The collected data included patient demographics, patient history, type of surgery and complications. Patients were divided into 2 groups, Elective vs. Emergent group, right vs. left colon group and laparotomy vs. laparoscopic approach. Multivariate analysis of the logistic model of morbidity revealed a significantly higher rate in the left colon and the Cox proportional hazards model clearly showed fewer postoperative hospital days with the laparoscopic approach. Surgical procedures should be decided in reference to the particular clinical and pathological features of diverticular disease to gain an acceptable morbidity and mortality rates.
Department of Surgery, National Hospital Organization Fukuyama Medical Center, Hiroshima, Japan. hidemiya777@yahoo.co.jp
Hideaki
H
Miyaso
Kazuhide
K
Iwakawa
Koji
K
Kitada
Yuji
Y
Kimura
Kenta
K
Isoda
Manabu
M
Nishie
Ryosuke
R
Hamano
Naoyuki
N
Tokunaga
Yosuke
Y
Tsunemitsu
Shinya
S
Ohtsuka
Masaru
M
Inagawaki
Hiromi
H
Iwagaki
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003082:Colectomy / Q000379:methods*; D003106:Colon / Q000601:surgery*; D043963:Diverticulosis, Colonic / Q000601:surgery*; D017558:Elective Surgical Procedures; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007813:Laparotomy; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D011183:Postoperative Complications; D012189:Retrospective Studies; D016896:Treatment Outcome