Laparoscopic versus open sigmoid resection for diverticulitis: long-term results of aprospective randomized trial: F28


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Abstract

Aim:Laparoscopic sigmoid resection hasproven short term benefits, but there are few data on long term outcome, quality of life and function.Method:One hundred and thirteen patients were randomized to laparoscopic (LAP group, N = 59) and open (OP group, N = 54) sigmoid resection for diverticulitis. They filled in the Gastrointestinal Quality of Life Index (GIQLI) questionnaire at a median follow up of 28 months after surgery.Results:Incisional hernia was detected in 5 (9.2%) patients in the OP group versus 7 (11.8%) in the LAP group (P = 0.76). Overall satisfaction with the operation on a scale of 0 (very poor) to 10 (excellent) was 9 (range 2-10) in the OP versus 9 (range 2-10) in the LAP group (P = 0.74). The median GIQLI score was 115 (57-144) in the OP group and 107 (61-133) in the LAP group (P = 0.23). Overall satisfaction with the cosmetic aspect of the scar on a scale of 0 to 10 was 8 (range 1-10) in the OP versus 10 (range 2-10) in the LAP group (P = 0.01).Conclusion:Both open and laparoscopic approaches for sigmoid resection achieve excellent results in terms of gastrointestinal function, and patient satisfaction. Significant benefits of laparoscopic surgery are restricted to the cosmetic result.

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