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• W2108523281 abstract "<h3>Background</h3> Early studies comparing laparoscopic and open operations for diverticulitis failed to show any advantages of the laparoscopic approach. Our study compared the 30-day postoperative outcomes of laparoscopic and open sigmoid colectomy for diverticulitis by surgeons who had performed 20 or more laparoscopic colectomies before the study period. <h3>Hypothesis</h3> Patients who undergo an electivelaparoscopic operation for diverticulitis have reduced postoperativecomplications compared with patients who have a traditional openoperation. <h3>Design</h3> Retrospectiveanalysis. <h3>Setting</h3> Academic medicalcenter. <h3>Patients</h3> A total of 249patients who underwent elective open (n = 127) orlaparoscopic (n = 122) sigmoid colectomy with primaryanastomosis for diverticulitis between July 1, 2001, and February 1,2008. <h3>Main Outcome Measures</h3> Combined rates of free and contained anastomotic leaks. A logisticregression model was used to determine predictors of anastomoticleaks while controlling for significant differences between studygroups. <h3>Results</h3> Patients whounderwent laparoscopic or open operations were similar in age, sex,history of diagnosed intraabdominal abscess (9.4% vs 12.3%), andhistory of preoperative percutaneous abscess drainage (3.9% vs 4.9%).Patients who underwent the open procedure had a higher Charlsoncomorbidity index (1.6 vs 1.2;<i>P</i> = .04), and those wh underwentlaparoscopy more frequently underwent splenic flexure mobilization(82.8% vs 26.7%;<i>P</i> < .001).Patients who underwent a laparoscopy had lower rates of anastomoticleaks (2.4% vs 8.2%;<i>P</i> = .04).This finding held true on logistic regression analysis (odds ratio, 0.67; 95% confidence interval, 0.008-0.567;<i>P</i> = .01), even when controlling for age,Charlson comorbidity index, splenic flexure mobilization, and lengthof resected bowel. <h3>Conclusion</h3> Anastomotic leaks occurred less frequently after laparoscopicsigmoid colectomy performed by experienced laparoscopic colorectalsurgeons." @default.
• W2108523281 created "2016-06-24" @default.
• W2108523281 creator A5087375566 @default.
• W2108523281 date "2011-02-01" @default.
• W2108523281 modified "2023-09-25" @default.
• W2108523281 title "Laparoscopy Decreases Anastomotic Leak Rate in Sigmoid Colectomy for Diverticulitis" @default.
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• W2108523281 doi "https://doi.org/10.1001/archsurg.2010.325" @default.
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