Population-based trend analysis of 2813 patients undergoing laparoscopic sigmoid resection

Background: The use of laparoscopic sigmoid resection for diverticular disease has become increasingly popular. The objective of this trend analysis was to assess whether clinical outcomes following laparoscopic sigmoid resection for diverticular disease have improved over the past 10 years. Methods...

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Bibliographic Details
Published in:British journal of surgery 2010-01, Vol.97 (1), p.79-85
Main Authors: Guller, U., Rosella, L., Karanicolas, P. J., Adamina, M., Hahnloser, D.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Diverticulum - surgery
Humans
Intraoperative Complications - etiology
Laparoscopy - methods
Middle Aged
Postoperative Complications - etiology
Prospective Studies
Risk Factors
Sigmoid Diseases - surgery
Young Adult
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Summary:Background: The use of laparoscopic sigmoid resection for diverticular disease has become increasingly popular. The objective of this trend analysis was to assess whether clinical outcomes following laparoscopic sigmoid resection for diverticular disease have improved over the past 10 years. Methods: The analysis was based on the prospective database of the Swiss Association of Laparoscopic and Thoracoscopic Surgery. Some 2813 patients undergoing elective laparoscopic sigmoid resection for diverticular disease from 1995 to 2006 were included. Unadjusted and risk‐adjusted analyses were performed. Results: Over time, there was a significant reduction in the conversion rate (from 27·3 to 8·6 per cent; Ptrend < 0·001), local postoperative complication rate (23·6 to 6·2 per cent; Ptrend = 0·004), general postoperative complication rate (14·6 to 4·9 per cent; Ptrend = 0·024) and reoperation rate (5·5 to 0·6 per cent; Ptrend = 0·015). Postoperative median length of hospital stay significantly decreased from 11 to 7 days (Ptrend < 0·001). Conclusion: This first trend analysis in the literature of clinical outcomes after laparoscopic sigmoid resection, based on almost 3000 patients, has provided compelling evidence that rates of postoperative complications, conversion and reoperation, and length of hospital stay have decreased significantly over the past 10 years. Copyright © 2010 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. Laparoscopic sigmoid resection complication rates
ISSN:0007-1323
1365-2168
DOI:10.1002/bjs.6787