©The Author(s) 2025.
World J Gastrointest Surg. Dec 27, 2025; 17(12): 111450
Published online Dec 27, 2025. doi: 10.4240/wjgs.v17.i12.111450
Published online Dec 27, 2025. doi: 10.4240/wjgs.v17.i12.111450
Table 4 Comparison of patients undergoing observation and surgery
| Right colon (n = 45) | Left colon (n = 208) | |||||
| Observation (n = 41) | Surgery (n = 4) | P value | Observation (n = 154) | Surgery (n = 54) | P value | |
| Gender, n (%) | ||||||
| Female | 20 (48.8) | 1 (25) | 0.363 | 88 (57.1) | 17 (31.5) | 0.001 |
| Male | 21 (51.2) | 3 (75) | 66 (42.9) | 37 (68.5) | ||
| Age (year; mean) | 49.32 ± 15.65 | 48.75 ± 16.58 | 0.95 | 61.47 ± 14.09 | 62.87 ± 13.43 | 0.52 |
| Age group, n (%) | 0.957 | |||||
| ≤ 50 | 21 (51.2) | 2 (50) | 0.621 | 35 (22.7) | 12 (22.2) | |
| 50-70 | 16 (39) | 1 (25) | 71 (46.1) | 24 (44.4) | ||
| ≥ 70 | 4 (9.8) | 1 (25) | 48 (31.2) | 18 (33.4) | ||
| CCI (mean) | 1.02 ± 1.44 | 1 ± 1.41 | 0.97 | 2.5 ± 1.93 | 2.75 ± 2.18 | 0.42 |
| Immunosuppression, n (%) | 3 (7.3) | - | 0.575 | 9 (5.8) | 5 (9.3) | 0.001 |
| Prior finding, n (%) | ||||||
| Abscess | 7 (17.1) | 3 (75) | 0.001 | 16 (10.4) | 9 (16.7) | 0.001 |
| Bleeding | - | - | 5 (3.2) | 1 (1.9) | ||
| Fistula | - | - | - | 3 (5.6) | ||
| Obstruction | 1 (2.4) | - | 3 (1.9) | 4 (7.4) | ||
| Perforation | 1 (2.4) | - | 32 (20.8) | 26 (48.1) | ||
| Peritonitis | - | 1 (25) | - | 4 (7.4) | ||
| Sole persistent abdominal pain | 32 (78) | - | 98 (63.6) | 7 (13) | ||
| Hinchey, n (%) | ||||||
| 1A | 30 (73.2) | - | 0.001 | 92 (59.7) | 4 (7.4) | 0.001 |
| 1B | 10 (24.4) | 1 (25) | 34 (22.1) | 5 (9.3) | ||
| 2 | 1 (2.4) | 1 (25) | 24 (15.6) | 18 (33.3) | ||
| 3 | - | 2 (50) | 4 (2.6) | 23 (42.6) | ||
| 4 | - | - | - | 4 (7.4) | ||
| Number of episodes, n (%) | - | |||||
| 1 | 41 (100) | 4 (100) | 141 (91.6) | 30 (55.6) | 0.389 | |
| 2 | - | - | 13 (8.4) | 16 (29.6) | ||
| ≥ 3 | - | - | - | 8 (14.8) | ||
| Percutaneous drainage, n (%) | 1 (2.4) | 1 (25) | 0.037 | 23 (14.9) | 14 (25.9) | 0.069 |
| Accompanying lesion on colonoscopy, n (%) | 1 (2.4) | 1 (25) | 21 (13.5) | 11 (19.4) | ||
| Polyp | 1 (2.4) | - | 0.005 | 19 (12.3) | 3 (5.6) | 0.001 |
| Malignancy | - | 1 (25) | 1 (0.6) | 8 (14.8) | ||
| Ulcerative colitis | - | - | 1 (0.6) | - | ||
| The mean length of hospital stays (day), (range) | 3.49 ± 0.84 | 5.75 ± 2.06 | 0.11 | 4.68 ± 1.5 | 7.74 ± 4.6 | 0.001 |
| Mortality, n (%) | - | - | - | - | 3 (5.6) | - |
- Citation: Acar T, Sür Y, Acar N, Tekindal MA, Dilek ON. Does localization change management in complicated right and left-sided diverticulitis? World J Gastrointest Surg 2025; 17(12): 111450
- URL: https://www.wjgnet.com/1948-9366/full/v17/i12/111450.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v17.i12.111450