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首页> 外文期刊>Surgical Endoscopy >Increasing the number of attacks increases the conversion rate in laparoscopic diverticulitis surgery.
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Increasing the number of attacks increases the conversion rate in laparoscopic diverticulitis surgery.

机译：发作次数的增加会增加腹腔镜憩室炎手术的转化率。

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BACKGROUND: This study aimed to determine whether the number of diverticulitis or complicated diverticulitis episodes affects the conversion rate or postoperative complication rate in elective laparoscopic sigmoid colectomy. METHODS: In this study, 216 charts were reviewed for baseline characteristics, diverticulitis history, and intra- and postoperative complications. Analysis was performed with the Student's t-test, the chi-square test, and Fisher's exact tests. RESULTS: Of 216 sigmoid colectomies, 151 were laparoscopic, 19 were converted, and 46 were open. Baseline characteristics were similar for patients with zero to two and those with three or more inpatient diverticulitis attacks. Patients with uncomplicated diverticulitis had a higher rate of conversion after three or more inpatient episodes (2.6% vs 25%; p = 0.04). There was no difference in operative times or postoperative complication rates. Patients with a history of abscess had a 23% chance of conversion. Those with no abscess history had an 8% chance of conversion (p = 0.02). In general, converted procedures required more time than open procedures but were associated with decreased hospital length of stay (LOS) and a decreased rate of postoperative ileus. CONCLUSION: Multiple inpatient diverticulitis attacks and a history of abscess were associated with laparoscopic conversion. Converted procedures required more time than open procedures, but had reduced LOS and postoperative ileus. Laparoscopic sigmoid colectomy can be attempted safely for patients with three or more inpatient attacks or a history of complicated diverticulitis.
机译：背景：这项研究旨在确定憩室炎或复杂性憩室炎发作的次数是否影响选择性腹腔镜乙状结肠切除术的转化率或术后并发症发生率。方法：在这项研究中，回顾了216张图表的基线特征，憩室炎病史以及术中和术后并发症。使用学生t检验，卡方检验和费舍尔精确检验进行分析。结果：在216例乙状结肠电切术中，有151例进行了腹腔镜手术，其中19例经了腹腔镜手术，其中46例开放。对于零至二和三或更多住院憩室炎发作的患者，基线特征相似。单纯性憩室炎患者在住院3次或以上后的转化率更高（2.6％vs 25％; p = 0.04）。手术时间或术后并发症发生率无差异。有脓肿病史的患者发生转化的机会为23％。没有脓肿病史的人有8％的机会转化（p = 0.02）。通常，与开放手术相比，转换手术需要更多的时间，但与住院时间缩短和术后肠梗阻发生率降低有关。结论：多次住院憩室炎发作和脓肿病史与腹腔镜转换有关。与开放式手术相比，转换后的手术需要更多的时间，但是减少了LOS和术后肠梗阻。对于患有三例或以上住院发作或有复杂憩室炎病史的患者，可以安全地尝试腹腔镜乙状结肠切除术。

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