Brief Article
Copyright ©2011 Baishideng Publishing Group Co.
World J Gastroenterol. Dec 28, 2011; 17(48): 5274-5279
Published online Dec 28, 2011. doi: 10.3748/wjg.v17.i48.5274
Table 1 Patient characteristics n (%)
Early elective resection (n = 272)Delayed elective resection (n = 149)P value
Age (mean ± SD)63.5 ± 13.164.2 ± 12.60.57
Sex
Male121 (44.5)63 (42.3)0.66
Female151 (55.5)86 (57.7)
Classification of diverticulitis
Hinchey 1230 (84.6)132 (88.6)0.28
Hinchey 242 (15.4)17 (11.4)
ASA classification
ASA 110 (3.7)4 (2.7)0.69
ASA 2150 (55.1)89 (59.7)
ASA 3107 (39.3)52 (34.9)
ASA 45 (1.8)4 (2.7)
Table 2 Outcome following early and delayed elective resections performed for complicated diverticulitis n (%)
Early elective resection(n = 272)Delayed elective resection performed (n = 141)P value
Operation
Minimally invasive surgery204 (75.0)119 (84.4)0.032
Open surgery68 (25.0)22 (15.6)
Procedure
Hartman1 (0.4)0 (0.0)0.75
Protective stoma17 (6.3)8 (5.7)
Primary anastomosis without stoma254 (93.4)133 (94.3)
Surgical complications
Wound infection30 (11.0)10 (7.1)0.22
Anastomotic leakage14 (5.1)6 (4.3)0.81
Reoperation22 (8.1)8 (5.7)0.43
Medical complications
Uriary tract infection16 (5.9)7 (5.0)0.82
Pneumonia9 (3.3)4 (2.8)1
Overall morbidity41 (15.1)16 (11.3)0.16
Mortality1 (0.4)1 (0.7)1
Socioeconomic data (mean ± SD)
Duration of hospital stay (d)16.1 ± 9.013.3 ± 7.90.002
Duration of operation (min)166.2 ± 44.2149.1 ± 39.1< 0.001
Duration of ICU stay (d)0.64 ± 0.900.72 ± 0.910.47
Overall costs (€)8423 ± 9689296 ± 694< 0.001
Table 3 Outcome of planned early and delayed elective resections for complicated diverticulitis (intention to treat analysis) n (%)
Early elective resection(n = 272)Planned for delayed elective resection1 (n = 149)P value
Operation
Minimally invasive surgery204 (75.0)119 (79.9)0.28
Open surgery68 (25.0)30 (20.1)
Procedure
Hartman1 (0.4)3 (2.0)0.153
Protective stoma17 (6.3)13 (8.7)
Primary anastomosis without stoma254 (93.4)133 (89.3)
Surgical complications
Wound infection30 (11.0)16 (10.7)0.92
Anastomotic leakage14 (5.1)8 (5.4)1.0
Reoperation22 (8.1)12 (8.1)1.0
Medical complications
Uriary tract infection16 (5.9)7 (4.7)0.66
Pneumonia9 (3.3)5 (3.4)1.0
Overall morbidity41 (15.1)23 (15.4)0.92
Mortality1 (0.4)2 (1.3)0.26
Socioeconomic data (mean ± SD)
Duration of hospital stay (d)16.1 ± 9.014.2 ± 10.00.043
Duration of operation (min)166.2 ± 44.2148.9 ± 38.4< 0.001
Duration of ICU stay (d)0.64 ± 0.901.4 ± 4.00.004
Overall costs (€)8423 ± 9689941 ± 3563< 0.001