Results of Laparotomy and Laparoscopy for Perforated Colonic Diverticulitis.
Adult
Aged
Case-Control Studies
Diverticulitis, Colonic
/ blood
Female
Humans
Intestinal Perforation
/ blood
Laparoscopy
Laparotomy
Male
Middle Aged
Peritonitis
/ blood
Postoperative Complications
/ blood
Reoperation
Republic of Korea
Retrospective Studies
Risk Factors
Serum Albumin
/ metabolism
Survival Rate
Colonic Diverticulum
Diverticular Diseases
Laparoscopic Surgery
Journal
JSLS : Journal of the Society of Laparoendoscopic Surgeons
ISSN: 1938-3797
Titre abrégé: JSLS
Pays: United States
ID NLM: 100884618
Informations de publication
Date de publication:
Historique:
entrez:
22
8
2019
pubmed:
23
8
2019
medline:
18
12
2019
Statut:
ppublish
Résumé
The applications of laparoscopic surgery are expanding, but there is still controversy about its application in patients with peritonitis resulting from diverticulitis perforation. This study aimed to investigate the factors affecting the postoperative mortality rate in patients undergoing surgery for perforated diverticulitis. Further, we compared the recovery courses of patients between open and laparoscopic surgeries. We analyzed the medical records of adult patients with peritonitis caused by perforated diverticulitis from six hospitals of Hallym University Medical Center from January 2006 to December 2016. A total of 166 patients were identified. In the univariate analysis, the statistically significant factors associated with postoperative mortality were age ≥ 60 years, body mass index ≥ 23 kg/m Low preoperative serum albumin level (<3.0 g/dL) affects the mortality rate of patients after surgery. The hospital course and prognosis after laparoscopic surgery and conventional open surgery are comparable in patients with peritonitis caused by diverticulitis perforation.
Sections du résumé
BACKGROUND AND OBJECTIVES
OBJECTIVE
The applications of laparoscopic surgery are expanding, but there is still controversy about its application in patients with peritonitis resulting from diverticulitis perforation. This study aimed to investigate the factors affecting the postoperative mortality rate in patients undergoing surgery for perforated diverticulitis. Further, we compared the recovery courses of patients between open and laparoscopic surgeries.
METHODS
METHODS
We analyzed the medical records of adult patients with peritonitis caused by perforated diverticulitis from six hospitals of Hallym University Medical Center from January 2006 to December 2016.
RESULTS
RESULTS
A total of 166 patients were identified. In the univariate analysis, the statistically significant factors associated with postoperative mortality were age ≥ 60 years, body mass index ≥ 23 kg/m
CONCLUSION
CONCLUSIONS
Low preoperative serum albumin level (<3.0 g/dL) affects the mortality rate of patients after surgery. The hospital course and prognosis after laparoscopic surgery and conventional open surgery are comparable in patients with peritonitis caused by diverticulitis perforation.
Identifiants
pubmed: 31431798
doi: 10.4293/JSLS.2019.00007
pii: JSLS.2019.00007
pmc: PMC6687474
pii:
doi:
Substances chimiques
Serum Albumin
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Déclaration de conflit d'intérêts
Conflicts of Interest: All authors declare no conflict of interest regarding the publication of this article.
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