Author/Editor     Norčič, Gregor; Omejc, Mirko
Title     Kiruško zdravljenje zapletov divertikuloze debelega črevesa
Translated title     Surgical treatment of diverticular disease of the colon
Type     članek
Source     Endoskopska Revija
Vol. and No.     Letnik 14, št. 31
Publication year     2009
Volume     str. 101-8
Language     slo
Abstract     Strategy of surgical treatment of diverticular disease has changed over recent years. In order to confirm the value of a more modern therapeutic approach to the disease, we rewieved the available literature and analysed 101 patients operated on for complicated diverticular disease at the Department of Abdominal Surgery, University Medical Centre Ljubljana, from the beginning of 2006 to November 2009. There were 45 (44.6 %) emergency operations and 56 (55.4 %) elective procedures. Postoperative mortality in the emergency group was 28.9 %; none of the patients operated on electively died. High mortality rates in patients operated on on an emergency basis is attributable to comorbidities; the influence of surgical technique on the outcome is not yet clear. The optimal timing for elective surgery has not yet been determined, but laparoscopic-assisted resection has proved to be the most appropriate surgical technique for diverticular disease.
Descriptors     DIVERTICULOSIS, COLONIC
EMERGENCIES
DIVERTICULITIS, COLONIC
GASTROINTESTINAL HEMORRHAGE
PERITONITIS
TREATMENT OUTCOME
RETROSPECTIVE STUDIES