Resultados de la cirugía laparoscópica en el tratamiento electivo de la enfermedad diverticular de colon

The laparoscopic approach is an alternative for the elective treatment of diverticular colon disease (DCD). Aim: To analyze the results of patients electively operated for DCD using a laparoscopic technique. Material and Methods: Data of patients with DCD operated using laparoscopy at the Catholic U...

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Autores principales:	López-Köstner,Francisco, Zárate,Alejandro, Pinedo,George, Molina,María E, Kronberg,Udo, Pardo,Javiera
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2008
Materias:	Diverticulitis Diverticulum colon Laparoscopy
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000500007
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spelling	oai:scielo:S0034-988720080005000072008-07-30Resultados de la cirugía laparoscópica en el tratamiento electivo de la enfermedad diverticular de colonLópez-Köstner,FranciscoZárate,AlejandroPinedo,GeorgeMolina,María EKronberg,UdoPardo,Javiera Diverticulitis Diverticulum colon Laparoscopy The laparoscopic approach is an alternative for the elective treatment of diverticular colon disease (DCD). Aim: To analyze the results of patients electively operated for DCD using a laparoscopic technique. Material and Methods: Data of patients with DCD operated using laparoscopy at the Catholic University of Chile Clinical Hospital were prospectively recorded from January 1999 to August 2006. Indications for surgery were repetitive crises of acute diverticulitis, the persistence of the symptoms or anatomic deformity after the first crisis and complicated diverticulitis (Hinchey 1-2) that responded to the medical treatment. The laparoscopic technique used five ports and the surgical specimen was extracted through a suprapubic approach. Results: One hundred and six patients aged 32 to 82 years (49% females) were operated in the study period. Fifty five percent had a previous abdominal surgery. The mean operative time was 213 minutes (range: 135-360). Four patients were converted to open surgery (3.7%). One or more early post-operative complications were observed in five patients (4.7%). The mean time for passing gases and reinitiate liquid diet was 1.7 and 2.4 days respectively. The median post operative stay after surgery was 4 days. There was no operative mortality. Mean follow-up time was 27 months and only one patient (0.9%) had a new episode of acute diverticular disease, with a satisfactory response to medical treatment. No patient has developed bowel obstruction. Conclusions: The laparoscopic approach is a safe alternative in the elective surgical treatment of DCDinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.136 n.5 20082008-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000500007es10.4067/S0034-98872008000500007
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Diverticulitis Diverticulum colon Laparoscopy
spellingShingle	Diverticulitis Diverticulum colon Laparoscopy López-Köstner,Francisco Zárate,Alejandro Pinedo,George Molina,María E Kronberg,Udo Pardo,Javiera Resultados de la cirugía laparoscópica en el tratamiento electivo de la enfermedad diverticular de colon
description	The laparoscopic approach is an alternative for the elective treatment of diverticular colon disease (DCD). Aim: To analyze the results of patients electively operated for DCD using a laparoscopic technique. Material and Methods: Data of patients with DCD operated using laparoscopy at the Catholic University of Chile Clinical Hospital were prospectively recorded from January 1999 to August 2006. Indications for surgery were repetitive crises of acute diverticulitis, the persistence of the symptoms or anatomic deformity after the first crisis and complicated diverticulitis (Hinchey 1-2) that responded to the medical treatment. The laparoscopic technique used five ports and the surgical specimen was extracted through a suprapubic approach. Results: One hundred and six patients aged 32 to 82 years (49% females) were operated in the study period. Fifty five percent had a previous abdominal surgery. The mean operative time was 213 minutes (range: 135-360). Four patients were converted to open surgery (3.7%). One or more early post-operative complications were observed in five patients (4.7%). The mean time for passing gases and reinitiate liquid diet was 1.7 and 2.4 days respectively. The median post operative stay after surgery was 4 days. There was no operative mortality. Mean follow-up time was 27 months and only one patient (0.9%) had a new episode of acute diverticular disease, with a satisfactory response to medical treatment. No patient has developed bowel obstruction. Conclusions: The laparoscopic approach is a safe alternative in the elective surgical treatment of DCD
author	López-Köstner,Francisco Zárate,Alejandro Pinedo,George Molina,María E Kronberg,Udo Pardo,Javiera
author_facet	López-Köstner,Francisco Zárate,Alejandro Pinedo,George Molina,María E Kronberg,Udo Pardo,Javiera
author_sort	López-Köstner,Francisco
title	Resultados de la cirugía laparoscópica en el tratamiento electivo de la enfermedad diverticular de colon
title_short	Resultados de la cirugía laparoscópica en el tratamiento electivo de la enfermedad diverticular de colon
title_full	Resultados de la cirugía laparoscópica en el tratamiento electivo de la enfermedad diverticular de colon
title_fullStr	Resultados de la cirugía laparoscópica en el tratamiento electivo de la enfermedad diverticular de colon
title_full_unstemmed	Resultados de la cirugía laparoscópica en el tratamiento electivo de la enfermedad diverticular de colon
title_sort	resultados de la cirugía laparoscópica en el tratamiento electivo de la enfermedad diverticular de colon
publisher	Sociedad Médica de Santiago
publishDate	2008
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000500007
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Resultados de la cirugía laparoscópica en el tratamiento electivo de la enfermedad diverticular de colon

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