Laparoscopic one-stage resection of right and left colon complicated diverticulitis equivalent to hinchey stage I–II

Katsuno, Goutaro; Fukunaga, Masaki; Nagakari, Kunihiko

doi:10.1007/s00595-010-4349-2

Cited by 14 publications

(6 citation statements)

References 48 publications

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“…Accordingly, recurrent colonic diverticulitis without abscess or perforation alone is not an indication for surgery (and is not an indication for preventive colectomy). Elective surgery is considered based on the state of immunodeficiency (e.g., post-transplantation), severity of recurrent diverticulitis, presence of comorbidities, and age [156][157][158].…”

Section: Cq33: Is Antibiotic Therapy Recommended For Colonic Diverticmentioning

confidence: 99%

Guidelines for Colonic Diverticular Bleeding and Colonic Diverticulitis: Japan Gastroenterological Association

et al. 2019

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Colonic diverticular disease has been increasing in prevalence in Japan due to the rapidly aging population. Colonic diverticular bleeding can result in hemorrhagic shock requiring blood transfusion, and it carries a high risk of recurrence within 1 year. Colonic diverticulitis can cause abscess, fistula formation, and perforation of the colon that may require surgery, and it often recurs. As a result, patients with colonic diverticular disease are often bothered by required frequent examinations, re-hospitalization, and a consequent decrease in quality of life. However, the management of diverticular disease differs between Japan and Western countries. For example, computed tomography (CT) is readily accessible at Japanese hospitals, so urgent CT may be selected as the first diagnostic procedure for suspected diverticular disease. Endoscopic clipping or band ligation may be preferred as the first endoscopic procedure for diverticular bleeding. Administration of antibiotics and complete bowel rest may be considered as first-line therapy for colonic diverticulitis. In addition, diverticula occur mainly in the sigmoid colon in Western countries, whereas the right side or bilateral of the colon is more commonly involved in Japan. As such, diverticular disease in the right-side colon is more prevalent in Japan than in Western countries. Against this background, concern is growing about the management of colonic diverticular disease in Japan and there is currently no practice guideline available. To address this situation, the Japanese Gastroenterological Association decided to create a clinical guideline for colonic diverticular bleeding and colonic diverticulitis in collaboration with the Japanese Society of Gastroenterology, Japan Gastroenterological Endoscopy Society, and Japanese Society of Interventional Radiology. The steps taken to establish this guideline involved incorporating the concept of the GRADE system for rating clinical guidelines, developing clinical questions (CQs), accumulating evidence through a literature search and review, and developing the Statement and Explanation sections. This guideline includes 2CQs for colonic diverticulosis, 24 CQs for colonic diverticular bleeding, and 17 CQs for diverticulitis.

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Section: Cq33: Is Antibiotic Therapy Recommended For Colonic Diverticmentioning

confidence: 99%

Guidelines for Colonic Diverticular Bleeding and Colonic Diverticulitis: Japan Gastroenterological Association

et al. 2019

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“…According to Lin et al, 15.2% patients developed wound infections one patient developed intra-abdominal bleeding [37]. In Katsuno et al, wound infection was found in 6.4% of patients in the LA [38]. In Ansari et al, out of 103 patients who were successfully operated laparoscopically, 21 patients developed minor complications like fever in 11 (10.67%) patients, 5 (4.85%) patients had post-operative ileus that postponed their begin of oral ingestion and 5 (4.85%) patients had port site infection [33].…”

Section: Discussionmentioning

confidence: 97%

Assessment of Laparoscopic Appendectomy in Patients of Complicated Appendicitis in Tertiary Care Teaching Hospital of Central India

Yadav

YADAV

SINHA

et al. 2022

Asian J Pharm Clin Res

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Background: Appendicitis is the commonest abdominal surgical emergency in the world which may lead to complications like appendicular abscess or mass, gangrene, perforation and peritonitis. Present research aimed to evaluate the wellbeing and the effectiveness of laparoscopy for managing complicated appendicitis. Material and methods: Present study was carried out on 50 patients at tertiary care institution of Chhattisgarh in Central India for the period of 2 year. This study is including patients of complicated appendicitis undergoing laparoscopic management. Parameters studied included Age, Gender, WBC count, wound infection and hospital stay. Results: There was increase of total leucocytic count in most of the patients; Mean WBCs was 12.71±5.37. 33 patients had pus free IPF collection and perforated appendicitis (PA), 11 patients had turbid free IPF collection with AA (highly inflamed appendix), 2 case was mucocele of the appendix, 2 cases of appendicular abscess (3.3%) and 2 cases of gangrenous appendix. Conclusion: Management of complicated appendicitis laparoscopically is practicable, secure and can present a small occurrence of infectious impediments, fewer post-operative pain, fast revival and improved cosmesis on the cost of extended operating time than Open Appendectomy

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“…Piskun et al, data on 52 patients with perforated appendicitis 10 (19%) had converted appendectomies. 10 13 In Ansari et al, out of 103 patients who were successfully operated laparoscopically, 21 patients developed minor complications like fever in 11 (10.67%) patients, 5 (4.85%) patients had postoperative ileus that delayed their start of oral intake and 5 (4.85%) patients had port site infection. There were no cases of postoperative bowel obstruction and no mortality.…”

Section: Discussionmentioning

confidence: 99%

Evaluation the role of laparoscopic management of complicated appendicitis

et al. 2020

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Background: A laparoscopic appendectomy (LA) was performed mostly on uncomplicated appendicitis due to opinions about its safety when it was first introduced. Nevertheless, there are still concerns about surgical difficulties in managing complicated appendicitis with laparoscopy, possible post-op complications and conversion to an open appendectomy (OA) during the surgery.Methods: The study consists of 30 patients who underwent laparoscopic appendectomy in department of General Surgery at Assiut University hospitals. The study population was enrolled after fulfilling the selection criteria from department of General Surgery. Informed consent was taken from all the patients who are involved in this study. Patients diagnosis was based on clinical findings, complete blood counts, and abdominal sonography.Results: Thirty patients underwent laparoscopic appendectomy for complicated appendicitis. Of the 30 patients, perforated appendix cases are 27, gangrenous appendix are 1, appendicular abscess only one case. Post operation wound infection, conversion rate and hospital stay rate very less.Conclusions: The present study proved that laparoscopic appendectomy is the best approach in complicated appendicitis.

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Laparoscopic one-stage resection of right and left colon complicated diverticulitis equivalent to hinchey stage I–II

Abstract: Our findings indicate that laparoscopic surgery can be performed safely and effectively even for patients with Hinchey I-II, I'-II' colonic diverticulitis.

Cited by 14 publications

References 48 publications

Guidelines for Colonic Diverticular Bleeding and Colonic Diverticulitis: Japan Gastroenterological Association

Guidelines for Colonic Diverticular Bleeding and Colonic Diverticulitis: Japan Gastroenterological Association

Assessment of Laparoscopic Appendectomy in Patients of Complicated Appendicitis in Tertiary Care Teaching Hospital of Central India

Evaluation the role of laparoscopic management of complicated appendicitis

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