Author/Editor		Roblick, UJ; Senagore, A; Schwandner, O; Massmann, A; Bruch, H-P; Schiedeck, THK
Title		Laparoscopic therapy for diverticulitis
Translated title		Laparoskopsko zdravljenje divertikulitisa
Type		članek
Source		Endoskopska revija
Vol. and No.		Letnik 5, št. 12-13
Publication year		2000
Volume		str. 51-9
Language		eng
Abstract		Laparoscopic colectomy for duverticulitis is the main indication for laparoscopic surgery in benign colorectal diseases. We analyzed prospectively the records of 156 patients operated on between November 1993 and December 1998. The conversion rate was 14.7% (n=23). Laparoscopically-assisted operations were done in 133 patients: 114 underwent sigmoid resection, 4 had left hemicolectomy, 5 anterior resection, and 10 the Frykman-Goldberg operation. The rate of complications was 14.3%, and most of these (n=12.9%) were amenable to conservative treatment. No significant correlation between the degree of inflammation and the rate of conversions or conversions or complications was found. A statistically significant reduction of the operative time and hospital stay was recorded during the period 1993 - 1998. The results demonstrate that a laparoscopic operation for diverticulitis is a safe treatment option and a major alternative to conventional resection.
Summary		Laparoskopska kolektomija pri diverikulitisu je glavna indikacija za laparoskopsko kirurgijo pri benignih boleznih širokega črevesa in danke. Prospektivno smo analizirali podatke pri 156 bolnikih, ki so bili operirani od novembra 1993 do decembra 1998. Pogostost preklopa je bila 14,7% (23 primerov). Pri 133 bolnikih smo napravili laparoskopsko asistirano operacijo. Pri teh bolnikih smo 114-krat napravili resekcijo sigmoidnega kolona in 4-krat levo hemikolektomijo, v petih primerih sprednjo nizko resekcijo in 10-krat Frykman-Goldbergovo operacijo. V 14,3% so se pojavili zapleti, ki smo jih v večini primerov (9%) zdravili konzervativno. Stopnja vnetnih sprememb ni statistično značilno vplivala na število preklopov oziroma zapletov. Na drugi strani pa smo dokazali statistično značilno zmanjšanje časa operacije in hospitalizacije v obdobju od leta 1993 do leta 1998. Rezultati dokazujejo, da je uporaba laparoskopske tehnike pri zdravljenju divertikulitisa varna in jo lahko smatramo kot alternativo klasični operaciji.
Descriptors		DIVERTICULITIS, COLONIC SURGERY, LAPAROSCOPIC INTRAOPERATIVE COMPLICATIONS POSTOPERATIVE COMPLICATIONS TREATMENT OUTCOME