Sohn, Maximilian and Schlitt, H. J. and Hornung, M. and Zuelke, C. and Hochrein, A. and Moser, C. and Agha, A. (2017) Preservation of the superior rectal artery: influence of surgical technique on anastomotic healing and postoperative morbidity in laparoscopic sigmoidectomy for diverticular disease. INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 32 (7). pp. 955-960. ISSN 0179-1958, 1432-1262
Full text not available from this repository. (Request a copy)Abstract
To evaluate the impact of superior rectal artery (SRA) sparing technique on anastomotic leakage in laparoscopic sigmoidectomy for diverticular disease. A retrospective multicenter analysis of all patients undergoing laparoscopic sigmoid resection for diverticular disease between 2002 and 2015 was conducted. Data were recorded in three hospitals: University Hospital Regensburg, Marienhospital Gelsenkirchen, and Stadtisches Klinikum Munchen Bogenhausen. The SRA was resected between 2002 and 2005. Since 2005, the artery was preserved in most cases. Two hundred sixty-seven patients were included. One hundred sixty patients presented with complicated diverticulitis (60%). The SRA was resected in 102 patients (group 1) and preserved in 157 patients (group 2, no data in eight cases). Anastomotic leakage occurred in 7% of patients in group 1 and 1.9% of patients in group 2 (p = 0.053). Duration of surgery was significantly shorter (157 vs. 183 min, p < 0.001) in group 2 patients. Length of hospital stay was without significant difference (group 1 8.2 days; group 2 8.3 days; p = 0.83). The conversion rate was higher in group 2 patients; however, the difference was not statistically significant (9 vs. 3%, p = 0.07). There was no significant difference between both groups regarding intraoperative complications and overall complication rate. The length of the resected specimen (19 vs. 21 cm, p = 0.001) was significantly shorter in group 2 patients. Preservation of the SRA seems to be associated with favorable outcome in patients undergoing laparoscopic sigmoid resection for diverticular disease.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | INFERIOR MESENTERIC-ARTERY; RESECTION; COLECTOMY; SURGERY; LEAKAGE; Laparoscopic sigmoidectomy; Diverticular disease; High tie; Low tie; Superior rectal artery |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Chirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 14 Dec 2018 13:16 |
| Last Modified: | 19 Feb 2019 07:07 |
| URI: | https://pred.uni-regensburg.de/id/eprint/1641 |
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