Cirugía laparoscópica electiva en enfermedad diverticular: Un estudio comparativo con la cirugía convencional

Background: Elective surgery in diverticular disease (DD) consists classically in performing an open sigmoidectomy. Laparoscopic surgery of the colon can have results that are comparable to those of open surgery. Aim: To compare the results of laparoscopic and conventional surgery for DD. Materials...

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Autores principales:	López K,Francisco, Soto D,Gonzalo, Tapia N,Grace, Schnettler I,Katty, Zárate C,Alejandro, Avendaño H,Rodolfo, Pinedo M,George, Pérez B,Gustavo, Ibáñez A,Luis
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2003
Materias:	Diverticulitis, colonic Surgical procedures laparoscopic operative
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000700002
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spelling	oai:scielo:S0034-988720030007000022004-12-13Cirugía laparoscópica electiva en enfermedad diverticular: Un estudio comparativo con la cirugía convencionalLópez K,FranciscoSoto D,GonzaloTapia N,GraceSchnettler I,KattyZárate C,AlejandroAvendaño H,RodolfoPinedo M,GeorgePérez B,GustavoIbáñez A,Luis Diverticulitis, colonic Surgical procedures laparoscopic Surgical procedures operative Background: Elective surgery in diverticular disease (DD) consists classically in performing an open sigmoidectomy. Laparoscopic surgery of the colon can have results that are comparable to those of open surgery. Aim: To compare the results of laparoscopic and conventional surgery for DD. Materials and Methods: Retrospective review of preoperative, operative and postoperative variables of patients operated by laparoscopic surgery between the years 2000 and 2002. These results were compared with those of patients treated with conventional surgery in the same period. Results: Thirty nine patients, mean age 59 years old, were operated via laparotomy and 18 patients, mean age 47 years old, were treated with laparoscopic surgery. Both groups were comparable in gender, amount of previous laparotomies, type of surgery performed and American Society of Anestesiologists classification. The operative time was significantly higher in the laparoscopic surgery group (230 v/s 130 min), but the opioid requirements, stay in an intensive surgical care ward, postoperative ileus and hospital stay were significantly shorter in the laparoscopic group. Eleven percent of the patients included in the laparoscopic group and 31% of the patients treated with operative surgery had complications (p=0.07). The length of the excised colon, the degree of inflammation and treatment costs were comparable. Conclusions: Laparoscopic surgery in DD is feasible, safe, requires less analgesia and allows a faster recovery of post-operative ileus and a lower hospital stay (Rev Méd Chile 2003; 131: 719-26)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.131 n.7 20032003-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000700002es10.4067/S0034-98872003000700002
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Diverticulitis, colonic Surgical procedures laparoscopic Surgical procedures operative
spellingShingle	Diverticulitis, colonic Surgical procedures laparoscopic Surgical procedures operative López K,Francisco Soto D,Gonzalo Tapia N,Grace Schnettler I,Katty Zárate C,Alejandro Avendaño H,Rodolfo Pinedo M,George Pérez B,Gustavo Ibáñez A,Luis Cirugía laparoscópica electiva en enfermedad diverticular: Un estudio comparativo con la cirugía convencional
description	Background: Elective surgery in diverticular disease (DD) consists classically in performing an open sigmoidectomy. Laparoscopic surgery of the colon can have results that are comparable to those of open surgery. Aim: To compare the results of laparoscopic and conventional surgery for DD. Materials and Methods: Retrospective review of preoperative, operative and postoperative variables of patients operated by laparoscopic surgery between the years 2000 and 2002. These results were compared with those of patients treated with conventional surgery in the same period. Results: Thirty nine patients, mean age 59 years old, were operated via laparotomy and 18 patients, mean age 47 years old, were treated with laparoscopic surgery. Both groups were comparable in gender, amount of previous laparotomies, type of surgery performed and American Society of Anestesiologists classification. The operative time was significantly higher in the laparoscopic surgery group (230 v/s 130 min), but the opioid requirements, stay in an intensive surgical care ward, postoperative ileus and hospital stay were significantly shorter in the laparoscopic group. Eleven percent of the patients included in the laparoscopic group and 31% of the patients treated with operative surgery had complications (p=0.07). The length of the excised colon, the degree of inflammation and treatment costs were comparable. Conclusions: Laparoscopic surgery in DD is feasible, safe, requires less analgesia and allows a faster recovery of post-operative ileus and a lower hospital stay (Rev Méd Chile 2003; 131: 719-26)
author	López K,Francisco Soto D,Gonzalo Tapia N,Grace Schnettler I,Katty Zárate C,Alejandro Avendaño H,Rodolfo Pinedo M,George Pérez B,Gustavo Ibáñez A,Luis
author_facet	López K,Francisco Soto D,Gonzalo Tapia N,Grace Schnettler I,Katty Zárate C,Alejandro Avendaño H,Rodolfo Pinedo M,George Pérez B,Gustavo Ibáñez A,Luis
author_sort	López K,Francisco
title	Cirugía laparoscópica electiva en enfermedad diverticular: Un estudio comparativo con la cirugía convencional
title_short	Cirugía laparoscópica electiva en enfermedad diverticular: Un estudio comparativo con la cirugía convencional
title_full	Cirugía laparoscópica electiva en enfermedad diverticular: Un estudio comparativo con la cirugía convencional
title_fullStr	Cirugía laparoscópica electiva en enfermedad diverticular: Un estudio comparativo con la cirugía convencional
title_full_unstemmed	Cirugía laparoscópica electiva en enfermedad diverticular: Un estudio comparativo con la cirugía convencional
title_sort	cirugía laparoscópica electiva en enfermedad diverticular: un estudio comparativo con la cirugía convencional
publisher	Sociedad Médica de Santiago
publishDate	2003
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000700002
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Cirugía laparoscópica electiva en enfermedad diverticular: Un estudio comparativo con la cirugía convencional

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