Journal
ANNALS OF SURGERY
Volume 263, Issue 1, Pages 117-122Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/SLA.0000000000001061
Keywords
diverticolitis; Hartmann; laparoscopy; lavage; morbidity
Categories
Funding
- Alderbertska research foundation
- ALF-the Agreement concerning research and education of doctors
- Alice Swenzons foundation
- Anna-Lisa and Bror Bjornssons foundation
- Swedish Society of Medicine
- FrF foundation
- Goteborg Medical Society
- Sahlgrenska University Hospital Health Technology Assessment Center
- Johan & Jacob Soderberg's foundation
- Magnus Bergvall's foundation
- Ruth and Richard Julin's foundation
- Signe and Olof Wallenius' foundation
- Swedish Research Council [2012-1770]
- Health & Medical Care Committee of the Regional Executive Board
- Region Vastra Gotaland
Ask authors/readers for more resources
Objective:To evaluate short-term outcomes of a new treatment for perforated diverticulitis with purulent peritonitis in a randomized controlled trial.Background:Perforated diverticulitis with purulent peritonitis (Hinchey III) has traditionally been treated with surgery including colon resection and stoma (Hartmann procedure) with considerable postoperative morbidity and mortality. Laparoscopic lavage has been suggested as a less invasive surgical treatment.Methods:Laparoscopic lavage was compared with colon resection and stoma in a randomized controlled multicenter trial, DILALA (ISRCTN82208287). Initial diagnostic laparoscopy showing Hinchey III was followed by randomization. Clinical data was collected up to 12 weeks postoperatively.Results: Eighty-three patients were randomized, out of whom 39 patients in laparoscopic lavage and 36 patients in the Hartmann procedure groups were available for analysis. Morbidity and mortality after laparoscopic lavage did not differ when compared with the Hartmann procedure. Laparoscopic lavage resulted in shorter operating time, shorter time in the recovery unit, and shorter hospital stay.Conclusions:In this trial, laparoscopic lavage as treatment for patients with perforated diverticulitis Hinchey III was feasible and safe in the short-term.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available