Laparoscopic colectomy has advantages over open colectomy in the treatment of diverticular disease.
In this study, investigators from the United States compared these procedures.
They identified patients from the 1998, 1999, and 2000 Nationwide Inpatient Samples. They selected 709 patients with a laparoscopic procedure code and 17,735 with a code for open sigmoid resection.
The team performed multiple linear and logistic regression analyses to assess the risk-adjusted association between the surgery type and patient outcomes.
|Laparoscopic sigmoidectomy was associated with a shorter hospital stay.|
|Archives of Surgery|
They evaluated length of hospital stay, in-hospital complications, in-hospital mortality, and the rate of routine discharge.
The investigators found that patients had a mean age of 59.8 years; 89% were white and 54% female.
The team determined that laparoscopic sigmoidectomy was associated with a shorter mean hospital stay, fewer GI complications, lower overall complications, as well as a higher routine hospital discharge rate.
Dr Ulrich Guller's team concluded, "Laparoscopic sigmoid resection in patients with diverticular disease has statistically and clinically significant advantages over open sigmoid resection".