Use and outcomes of emergent laparoscopic resection for acute diverticulitis

Jennifer D. Rea, Daniel O. Herzig, Brian S. Diggs, Molly M. Cone, Kim C. Lu

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

BACKGROUND: The use and outcomes of laparoscopic sigmoid resection during emergency admissions for diverticulitis are unknown. METHODS: The Nationwide Inpatient Sample was queried for colorectal resections performed for diverticulitis during emergent hospital admissions (2003-2007). Univariate and multivariate analyses including patient, hospital, and outcome variables were performed. RESULTS: A national estimate of 67,645 resections (4% laparoscopic) was evaluated. The rate of conversion to open operation was 55%. Ostomies were created in 66% of patients, 67% open and 41% laparoscopic. Laparoscopy was not a predictor of mortality (odds ratio [OR] =.70; confidence interval [CI], .32-1.53). Laparoscopy predicted routine discharge (OR = 1.31; CI, 1.06-1.63) and a decreased length of stay (absolute days = -.78; CI, -1.19 to -.37). There was no difference in the cost of hospitalization between the 2 groups (P = .45). CONCLUSIONS: In acute diverticulitis, urgent laparoscopic resection decreases the length of stay. However, it is associated with a high conversion rate, no cost savings, and no difference in mortality.

Original languageEnglish (US)
Pages (from-to)639-643
Number of pages5
JournalAmerican journal of surgery
Volume203
Issue number5
DOIs
StatePublished - May 1 2012

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Keywords

  • Acute
  • Colectomy
  • Colon resection
  • Diverticulitis
  • Laparoscopy
  • Sigmoidectomy

ASJC Scopus subject areas

  • Surgery

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