Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Clinical Experiences
Laparoscopic surgery outcomes in right-sided colonic diverticular disease
Hitoshi KAMEYAMA, Toshiyuki YAMAZAKI, Shirou KUWABARA, Tetsuya OTANI, Norio KATAYANAGI, Katsuyoshi HATAKEYAMA
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2011 Volume 72 Issue 5 Pages 1097-1100

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Abstract
The aim of this study was to evaluate laparoscopic surgery outcomes in right-sided diverticular disease. A case series of 20 consecutive patients who underwent laparoscopic surgery for right-sided colonic diverticular disease between September 2003 and February 2010 was evaluated. The surgical data and the postoperative complications were primarily reviewed. The operative indication was active bleeding (14 patients) and repeat diverticulitis (7 patients). The median operative time was 143 minutes, and the median blood loss was 25 ml. Operative time and blood loss for right-sided early colonic cancer laparoscopic surgery (n=58) done during the same period were 158 minutes (p=0.28) and 20 ml (p=0.11) respectively. In right-sided diverticular disease laparoscopic surgery patients, the median hospital stay was 7 days ; in all 6 patients (30%) experienced postoperative morbidity. There were no cases of mortality or anastomosis leakage. There were no conversions to open surgery. In right-sided diverticular disease, laparoscopic surgery is safe and feasible.
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© 2011 Japan Surgical Association
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