• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2022
      • SAGES 2021
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy-Coming Soon!
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • “Unofficial” Logo Products
  • Log In

Early Laparoscopic Single-stage Resection for the Treatment of Acute Diverticulitis

Seema Izfar, MD, Teresa H. Debeche-adams, MD, Sam Atallah, MD, Matthew R Albert, MD, James Clancy, ARNP, Karla Miller, Omar Felix, MBBS, Sergio W Larach, MD. Florida Hospital

 

 Introduction: Recent literature regarding the treatment of acute diverticulitis has supported non-operative management or delayed operative management in the setting of acute disease. This can result in longer hospital stays and indolent symptomatic disease that can be both morbid and costly to the patient. The purpose of this study is to determine the incidence of operative complications and peri-operative morbidity related to laparoscopic single-stage resection in treatment of acute sigmoid diverticulitis with or without local perforation (Hinchey classification I/II).
Methods: Retrospective chart review was performed from March 2009 to July 2011 of all patients undergoing laparoscopic single-stage resection for acute sigmoid diverticulitis. Patients with either CT-proven diverticulitis or clinical symptoms consistent with recurrent diverticulitis who underwent operative intervention within two weeks of presentation were selected for chart review. Patients without physician documentation or imaging consistent with acute diverticulitis and patients with findings consistent with peritonitis (Hinchey classification III/IV) were excluded. All patients underwent laparoscopic resection, with or without hand-assistance. Intra-operative complications, operative times, post-operative morbidity, and length of stay were documented. Additionally, pathology reports were examined for confirmation of acute diverticulitis and evidence of local perforation or abscess formation.
Results: Sixty-two patients (35 male, 27 female) were identified to have undergone laparoscopic operative intervention for treatment of acute diverticulitis. Of these 62 patients, all were confirmed to have evidence of acute diverticulitis on formal pathology and 24 were found to have evidence of perforation or pericolonic abscess formation (38%). There were no intra-operative complications reported and no intra-operative blood transfusions. One patient was converted to open (1.6%). Average operative time was 121min (64 – 232 min). There were two contained anastomotic leaks reported (3.2%), one of which was treated with a Hartmann’s resection, and the other treated with a revision of end-to-end anastomosis. Post-operative morbidity overall was 16% (10 patients). Morbidities included acute renal insufficiency (3.2%), post-operative hemorrhage requiring blood transfusion (3.2%) post-operative ileus requiring readmission (1.6%), Clostridium dificile colitis (1.6%), pulmonary embolism (1.6%), and respiratory failure requiring reintubation (1.6%). Average post-operative length of stay was 4.37 days (2-22 days).
Conclusion: Laparoscopic single-stage resection in the setting of acute sigmoid diverticulitis is a safe modality of treatment for recurrent and refractory diverticulitis in well-selected patients. In our study, we have shown results comparable to elective resection after delayed management with antibiotics. Though operative intervention in the setting of acute diverticulitis may still result in postoperative morbidity and longer operative times, in well-selected patients, there should be no higher incidence of operative morbidity or stoma formation even in the presence of local perforation and abscess. Judicious patient selection for early operative intervention in the hands of experienced laparoscopic surgeons may benefit patients with complicated or refractory diverticulitis.


Session Number: Poster – Poster Presentations
Program Number: P127
View Poster

676

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2012 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Critical View of Safety (CVS) Challenge QR Code

The SAGES Critical View of Safety Challenge – Donate Your Lap Chole Videos!

The Society of American Gastrointestinal and Endoscopic Surgeons is hosting the first Artificial Intelligence Data Challenge conducted by surgeons. The aim of this challenge is to generate a large and diverse dataset of laparoscopic cholecystectomy videos, annotated with respect to the subcomponents of the Critical View of Safety (CVS). Computer scientists from all over the […]

Respuesta de SAGES al Estudio NordICC sobre el beneficio de las colonoscopias de detección

SAGES desea aclarar los resultados del estudio NordICC y colocarlos en contexto de los esfuerzos de varias agencias nacionales para reducir el riesgo de cáncer colorrectal – la segunda causa de muerte por cáncer más frecuente en los Estados Unidos-, mediante la promoción de la detección y tratamiento oportuno de las lesiones.

SAGES Response to NordICC Study Regarding Benefit of Screening Colonoscopies

The NordICC Study recently published in The New England Journal of Medicine and widely reported on by media outlets has raised questions regarding the benefit of screening colonoscopy in lowering the risk of colorectal cancer and cancer-related deaths among otherwise healthy and symptom-free men and women aged 55 to 64. Provocative headlines and commentaries have […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons