title: Laparoscopic versus open colonic resection for complicated diverticular disease in the emergency setting: a safe choice? A retrospective comparative cohort study.
abstract: BACKGROUND
  We conducted a retrospective cohort study to compare the outcomes of laparoscopic colon resection (LCR) with open colon resection (OCR) for complicated diverticular disease (CDD) during emergent hospital admission.
  
  
  METHODS
  Charts from all patients undergoing colon resection for CDD during emergent hospital admission at a single academic institution were reviewed. The primary outcomes were overall 30-day postoperative morbidity and mortality.
  
  
  RESULTS
  From 2000 to 2010, 125 cases were retrieved (49 LCR and 86 OCR). Conversion rate was 5.1%. Overall morbidity significantly decreased with laparoscopic surgery compared with OCR. No mortality occurred with LCR. Prolonged ileus was less frequent (12.8% vs. 32.6%; P = .02), time to oral intake shorter (3 vs. 6 days; P < .01), and LOS shorter (5 vs. 8 days; P = .05) for LCR.
  
  
  CONCLUSIONS
  In our series, in the patients selected, LCR for CDD during emergent hospital admission appears to be a safe procedure associated with decreased morbidity, time to oral intake, and LOS compared with OCR.
authors.affiliation: Department of Surgery, Université Laval, Québec, QC, Canada. Electronic address: fletarte1@gmail.com.
authors.forename: François
authors.initials: F
authors.lastname: Letarte
authors.affiliation: Division of General Surgery, University of Toronto, Toronto, ON, Canada.
authors.forename: Julie
authors.initials: J
authors.lastname: Hallet
authors.affiliation: Department of Surgery, Université Laval, Québec, QC, Canada; Department of Surgery, CHU de Québec - Hôpital Saint-François d'Assise, Québec Centre for Minimally Invasive Surgery, 10 Rue de l'Espinay, Québec, QC, Canada.
authors.forename: Sébastien
authors.initials: S
authors.lastname: Drolet
authors.affiliation: Department of Surgery, Université Laval, Québec, QC, Canada.
authors.forename: Cindy
authors.initials: C
authors.lastname: Boulanger-Gobeil
authors.affiliation: Department of Surgery, Université Laval, Québec, QC, Canada; Department of Surgery, CHU de Québec - Hôpital Saint-François d'Assise, Québec Centre for Minimally Invasive Surgery, 10 Rue de l'Espinay, Québec, QC, Canada.
authors.forename: Alexandre
authors.initials: A
authors.lastname: Bouchard
authors.affiliation: Department of Surgery, Université Laval, Québec, QC, Canada; Department of Surgery, CHU de Québec - Hôpital Saint-François d'Assise, Québec Centre for Minimally Invasive Surgery, 10 Rue de l'Espinay, Québec, QC, Canada.
authors.forename: Roger C
authors.initials: RC
authors.lastname: Grégoire
authors.affiliation: Department of Surgery, Université Laval, Québec, QC, Canada; Department of Surgery, CHU de Québec - Hôpital Saint-François d'Assise, Québec Centre for Minimally Invasive Surgery, 10 Rue de l'Espinay, Québec, QC, Canada.
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Gagné
authors.affiliation: Department of Surgery, Université Laval, Québec, QC, Canada; Department of Surgery, CHU de Québec - Hôpital Saint-François d'Assise, Québec Centre for Minimally Invasive Surgery, 10 Rue de l'Espinay, Québec, QC, Canada.
authors.forename: Claude
authors.initials: C
authors.lastname: Thibault
authors.affiliation: Department of Surgery, Université Laval, Québec, QC, Canada; Department of Surgery, CHU de Québec - Hôpital Saint-François d'Assise, Québec Centre for Minimally Invasive Surgery, 10 Rue de l'Espinay, Québec, QC, Canada.
authors.forename: Philippe
authors.initials: P
authors.lastname: Bouchard
mesh_terms: D000328:Adult; D000368:Aged; D015331:Cohort Studies; D003082:Colectomy / Q000379:methods*; D061887:Conversion to Open Surgery / Q000706:statistics & numerical data; D004239:Diverticulitis, Colonic / Q000401:mortality / Q000601:surgery*; D017558:Elective Surgical Procedures; D004630:Emergencies; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Acute care surgery; Acute complicated diverticulitis; Emergency surgery; Minimally invasive surgery