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Acute laparoscopic and open sigmoidectomy for perforated diverticulitis: a propensity score-matched cohort.


ABSTRACT:

Background

Hartmann's procedure for perforated diverticulitis can be characterised by high morbidity and mortality rates. While the scientific community focuses on laparoscopic lavage as an alternative for laparotomy, the option of laparoscopic sigmoidectomy seems overlooked. We compared morbidity and hospital stay following acute laparoscopic sigmoidectomy (LS) and open sigmoidectomy (OS) for perforated diverticulitis.

Methods

This retrospective cohort parallel to the Ladies trial included patients from 28 Dutch academic or teaching hospitals between July 2010 and July 2014. Patients with LS were matched 1:2 to OS using the propensity score for age, gender, previous laparotomy, CRP level, gastrointestinal surgeon, and Hinchey classification.

Results

The propensity-ma

SUBMITTER: Vennix S 

PROVIDER: S-EPMC4992031 | biostudies-literature | 2016 Sep

REPOSITORIES: biostudies-literature