COMMENTARY

A Comparison of Laparoscopic Sigmoid Resection and Open Sigmoid Resection in Managing Diverticular Disease

Albert B. Lowenfels, MD

Disclosures

March 03, 2009

Laparoscopic Sigmoid Resection for Diverticulitis Decreases Major Morbidity Rates: A Randomized Control Trial

Klarenbeek BR, Veenhof AA, Bergamaschi R, et al
Ann Surg. 2009;249:39-44

Summary

How does laparoscopic sigmoid resection (LSR) compare with open sigmoid resection (OSR) in managing diverticular disease? The authors conducted a trial with 52 patients randomized into each group. The operating time for LSR was about an hour longer than that with OSR. The results were similar with respect to overall complication rate; however, major complications such as leakage, bleeding, and abscess formation were more frequent in the OSR group (P = .038). Patients in the LSR group returned home earlier and had less postoperative pain.

Viewpoint

This report found that LSR is at least as good as and possibly better than OSR in managing diverticular disease that requires surgery. The quality-of-life score was improved in the LSR group, although it is possible that some patients knew which operation had been performed despite the covered incisional area. A larger trial might have demonstrated a significant reduction in overall postoperative complications in the LSR group.

Abstract

Comments

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