Management of acute diverticulitis in a tertiary care institution.
BACKGROUND
Diverticular disease of the left colon is a common disease, mainly in the population over 50 years of age. The surgical management of acute diverticulitis is remains controversial, especially in severe forms.


OBJECTIVE
This study aimed to evaluate the results of laparoscopic surgery for diverticular disease in a tertiary care institution with a specialist interest in minimally invasive surgery.


METHODS
All patients who had elective laparoscopic sigmoidectomy for diverticulitis within eight years at University Hospital of Luxembourg were selected from a retrospective database to evaluate laparoscopic benefit in moderate and severe disease.


RESULTS
A total of 155 patients were divided in two groups: Moderate Acute Diverticulitis (MAD) and Severe Acute Diverticulitis (SAD) respectively. The short-term outcomes, after laparoscopic sigmoidectomy, were evaluated. There were not important differences between two groups.


CONCLUSIONS
The laparoscopic management of diverticular disease after moderate and severe crisis gives same benefits and short-term outcomes are similar. Elective Laparoscopic surgery is actually the standard of care for moderate and severe diverticular disease in our institution.
Department of General and Mini-Invasive Surgery, Centre Hospitalier de Luxembourg, 4, rue Ernest Barblé,1210-Luxembourg, GD.
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L
De Magistris
Department of General and Mini-Invasive Surgery, Centre Hospitalier de Luxembourg, 4, rue Ernest Barblé,1210-Luxembourg, GD.
L
L
Arru
Department of General and Mini-Invasive Surgery, Centre Hospitalier de Luxembourg, 4, rue Ernest Barblé,1210-Luxembourg, GD.
V
V
De Blasi
Department of General and Mini-Invasive Surgery, Centre Hospitalier de Luxembourg, 4, rue Ernest Barblé,1210-Luxembourg, GD.
V
V
Poulain
Department of Radiology and Interventional Radiology, Centre Hospitalier de Luxembourg, 4, rue Ernest Barblé,1210-Luxembourg, GD.
V
V
Lens
Department of Medical Sciences, Centre Hospitalier de Luxembourg, 4, rue Ernest Barblé, 1210-Luxembourg, GD.
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L
Mertens
Department of General and Mini-Invasive Surgery, Centre Hospitalier de Luxembourg, 4, rue Ernest Barblé,1210-Luxembourg, GD.
M
M
Goergen
Department of General and Mini-Invasive Surgery, Centre Hospitalier de Luxembourg, 4, rue Ernest Barblé,1210-Luxembourg, GD.
J S
JS
Azagra
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D012809:Colon, Sigmoid / Q000473:pathology* / Q000601:surgery*; D061887:Conversion to Open Surgery; D004239:Diverticulitis, Colonic / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D017558:Elective Surgical Procedures / Q000379:methods; D005260:Female; D006785:Hospitals, University; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D007902:Length of Stay; D008189:Luxembourg; D008297:Male; D008875:Middle Aged; D010359:Patient Readmission; D012086:Reoperation; D012189:Retrospective Studies; D012307:Risk Factors; D012720:Severity of Illness Index; D012812:Sigmoidoscopy; D016896:Treatment Outcome