caa a22 4500 475778898 CHVBK 20180406123638.0 cr unu---uuuuu 170329e20000601xx s 000 0 eng 10.1007/s004640000094 doi (NATIONALLICENCE)springer-10.1007/s004640000094 Intracorporeal vs laparoscopic-assisted resection for uncomplicated diverticulitis of the sigmoid [Elektronische Daten] [R. Bergamaschi, J. J. Tuetch, P. Pessaux, J. P. Arnaud] Background: Minimally invasive surgery for uncomplicated diverticulitis of the sigmoid (UDS) may be performed either as an intracorporeal procedure (LICR) or as laparoscopically assisted colon resection (LACR). Methods: Prospectively collected data of 40 selected patients who had undergone LICR for UDS between 1992 and 1994 were compared retrospectively with those of 34 diagnosis-matched LACR controls operated on at the same hospital between 1995 and 1996 to assess the short-term outcome. Results: There were no mortalities. LICR and LACR patients were well matched for age, gender, weight, American Society of Anesthesiologists (ASA) grade, duration of symptoms, and number of previous admissions. There were no significant differences in conversions (one vs three), mobilization of splenic flexure (11:29 vs 9:25), anastomotic distance from anal verge (12 vs 13 cm), estimated blood loss (270 vs 285 ml), passage of flatus (3.1 vs 3.8 days), operating room (OR) costs ($3,040 vs $2,820), and total hospital costs ($9,250 vs $10,050) in LICR and LACR patients, respectively. Suprapubic skin-incision length (36 vs 60 mm, p << 0.01), size of circular stapler 28:31 mm (1:39 vs 6:28, p= 0.03), specimen length (21 vs 11 cm, p << 0.01), complication rates (6 vs 5, p= 0.02), OR time (180 vs 244 min, p < 0.001), resumption of oral solid food intake (3.2 vs 5.8 days, p < 0.001), hospital stay (4.6 vs 9.9 days, p < 0.001), and ward costs ($2,360 vs $4,950, p < 0.001) were significantly different in LICR and LACR patients, respectively. Conclusion: The immediately recognizable advantages of LICR over LACR surmised from this study need further evaluation in a prospective randomized setting. LICR remains a procedure of considerable technical complexity requiring high surgical skills. Springer-Verlag New York Inc., 2000 Key words: Anastomosis — Diverticulitis — Laparoscopic sigmoid resection — Sigmoid nationallicence Bergamaschi R. Department of Visceral Surgery, Angers University Hospital, 4 Rue Lorrey, 49033 Angers, France, FR aut Tuetch J. J. Department of Visceral Surgery, Angers University Hospital, 4 Rue Lorrey, 49033 Angers, France, FR aut Pessaux P. Department of Visceral Surgery, Angers University Hospital, 4 Rue Lorrey, 49033 Angers, France, FR aut Arnaud J. P. Department of Visceral Surgery, Angers University Hospital, 4 Rue Lorrey, 49033 Angers, France, FR aut Surgical Endoscopy Springer-Verlag 14/6(2000-06-01), 520-523 0930-2794 14:6<520 2000 14 464 https://doi.org/10.1007/s004640000094 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000094 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bergamaschi R. Department of Visceral Surgery, Angers University Hospital, 4 Rue Lorrey, 49033 Angers, France, FR aut NATIONALLICENCE 700 1- Tuetch J. J. Department of Visceral Surgery, Angers University Hospital, 4 Rue Lorrey, 49033 Angers, France, FR aut NATIONALLICENCE 700 1- Pessaux P. Department of Visceral Surgery, Angers University Hospital, 4 Rue Lorrey, 49033 Angers, France, FR aut NATIONALLICENCE 700 1- Arnaud J. P. Department of Visceral Surgery, Angers University Hospital, 4 Rue Lorrey, 49033 Angers, France, FR aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/6(2000-06-01), 520-523 0930-2794 14:6<520 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer