caa a22 4500 475781910 CHVBK 20180406123647.0 cr unu---uuuuu 170329e20001101xx s 000 0 eng 10.1007/s004640000267 doi (NATIONALLICENCE)springer-10.1007/s004640000267 Laparoscopic vs open colectomy for sigmoid diverticulitis [Elektronische Daten] A Prospective comparative study in the elderly [J.-J. Tuech, P. Pessaux, C. Rouge, N. Regenet, R. Bergamaschi, J.-P. Arnaud] Background: The aim of this prospective comparative study was to assess the outcome of laparoscopic and open colectomy for sigmoid diverticulitis in patients aged ≥75 years. Methods: From January 1993 to December 1998, all patients 75 years of age and older undergoing an elective colectomy for sigmoid diverticulitis were included in the study. The patients were divided into the following two groups: group 1 (n= 22) consisted of patients who underwent a laparoscopic procedure; group 2 (n= 24) consisted of patients who underwent an open procedure. Results: In group 1, there were 12 women and 10 men with a mean age of 77.2 years (range, 75-82); in group 2, there were 14 women and 10 men with a mean age of 78 years (range, 76-84) (p= 0.37). There was no difference between the groups in ASA classification. The operative time was shorter in group 2 (136 vs 234 mins). The postoperative period during which parenteral analgesics were required (5.4 vs 8.2 days, p= 0.001), postoperative morbidity (18% vs 50%, p= 0.02), postoperative length of hospital stay (13.1 vs 20.2 days, p= 0.003), and the inpatient rehabilitation (6 vs 15 patients, p= 0.01) were significantly shorter for group 1 than for group 2. There were no perioperative deaths. The conversion rate was 9% in group 1. Conclusion: The data from the present study suggest that laparoscopic colectomy for sigmoid diverticulitis can be applied safely to older patients with fewer complication, less pain, shorter hospital stay, and a more rapid return to preoperative activity levels than that seen with open colorectal resection. Springer-Verlag New York Inc., 2000 Key words: Laparoscopy — Colon — Elderly patients — Sigmoid diverticulitis — High-risk patients nationallicence Tuech J.-J Dept of Digestive Surgery, Angers University Hospital, 4 rue Larrey, 49000 Angers, France, FR aut Pessaux P. Dept of Digestive Surgery, Angers University Hospital, 4 rue Larrey, 49000 Angers, France, FR aut Rouge C. Dept of Digestive Surgery, Angers University Hospital, 4 rue Larrey, 49000 Angers, France, FR aut Regenet N. Dept of Digestive Surgery, Angers University Hospital, 4 rue Larrey, 49000 Angers, France, FR aut Bergamaschi R. Dept of Digestive Surgery, Angers University Hospital, 4 rue Larrey, 49000 Angers, France, FR aut Arnaud J.-P Dept of Digestive Surgery, Angers University Hospital, 4 rue Larrey, 49000 Angers, France, FR aut https://doi.org/10.1007/s004640000267 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000267 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Tuech J.-J Dept of Digestive Surgery, Angers University Hospital, 4 rue Larrey, 49000 Angers, France, FR aut NATIONALLICENCE 700 1- Pessaux P. Dept of Digestive Surgery, Angers University Hospital, 4 rue Larrey, 49000 Angers, France, FR aut NATIONALLICENCE 700 1- Rouge C. Dept of Digestive Surgery, Angers University Hospital, 4 rue Larrey, 49000 Angers, France, FR aut NATIONALLICENCE 700 1- Regenet N. Dept of Digestive Surgery, Angers University Hospital, 4 rue Larrey, 49000 Angers, France, FR aut NATIONALLICENCE 700 1- Bergamaschi R. Dept of Digestive Surgery, Angers University Hospital, 4 rue Larrey, 49000 Angers, France, FR aut NATIONALLICENCE 700 1- Arnaud J.-P Dept of Digestive Surgery, Angers University Hospital, 4 rue Larrey, 49000 Angers, France, FR aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer