ORIGINAL ARTICLE   

Chirurgia 2017 April;30(2):43-9

DOI: 10.23736/S0394-9508.16.04611-8

Copyright © 2016 EDIZIONI MINERVA MEDICA

language: Italian

Laparotomy vs. laparoscopy in the surgical treatment of the colonic diverticular disease

Angela PEZZOLLA, Bianca PASCAZIO, Marialessia MILELLA, Serafina LATTARULO, Gennaro FABIANO, Nicola PALASCIANO ✉

Dipartimento dell’Emergenza e Trapianti d’Organo, Università degli Studi “A. Moro” di Bari, Bari, Italia

BACKGROUND: The aim of our study was to evaluate the treatment in patients diagnosed with acute symptomatic uncomplicated diverticulosis, uncomplicated acute recurrent diverticulitis or symptomatic acute complicated diverticulitis.
METHODS: The data analysis allowed to divide 33 patients into different groups depending on the diagnosis according Hinchey’s classification, evaluating the treatment (medical, surgical conservative / demolitive) and the surgical approach (open vs. laparoscopy).
RESULTS: We evaluated the duration of hospital stay, morbidity and mortality. We recorded similar results in terms of morbidity and mortality for the two types of surgical approach. We calculated operative times longest and reduced days of hospitalization in patients operated on laparoscopy.
CONCLUSIONS: Based on our experience, the laparoscopic approach allows to obtain the same rates of perioperative morbidity and mortality, reducing surgical trauma, postoperative pain, ileus, resulting in a better cosmetic result, an earlier discharge and a more rapid return to work activities.

KEY WORDS: Diverticulum - Diverticulitis - Laparoscopy - Laparotomy