Current surgical treatment of diverticular disease in the Netherlands

Table 1 Patient characteristics n (%)

	Acute (n = 178)	Elective (n = 121)	P value
Age (yr)
median (range)	74 (28-94)	64 (28-88)	0.010
< 40	9 (5)	5 (4)	0.710
> 70	101 (57)	37 (31)	0.000
Gender
Male	84 (47)	41 (34)	0.022
ASA grade			0.157
I	25 (14)	22 (18)
II	102 (57)	78 (65)
III	44 (25)	18 (15)
IV	7 (4)	3 (2)
Previous episodes			0.000
0	92 (52)	0 (0)
1	68 (38)	65 (54)
2	10 (6)	23 (19)
≥ 3	8 (4)	33 (27)
Imaging
Ultrasound	32 (18)	22 (18)	0.964
CT-scan	103 (58)	98 (81)	0.000
Barium enema	2 (1)	57 (47)	0.000
Colonoscopy	16 (9)	76 (63)	0.000
Hinchey			0.000
I	56 (32)	48 (65)
II	24 (14)	26 (35)
III	75 (43)	0 (0)
IV	19 (11)	0 (0)
Percutaneous drainage	7 (29)	3 (12)	0.578

CT: Computed tomography.

Table 2 Surgical data n (%)

	Acute (n = 178)	Elective (n = 121)	P value
Time to acute intervention
Same day	96 (54)
1 d	26 (15)
> 1 d	54 (30)
Unknown	2 (1)
Operating time (min)
mean (range)	125 (30-295)	160 (48-305)	0.000
Operating surgeon			0.000
GI-surgeon	32 (18)	78 (65)
General surgeon	75 (42)	5 (4)
Resident	71 (40)	38 (31)
Surgical approach			0.000
Laparoscopy	8 (4)	38 (31)
Laparotomy	170 (96)	83 (69)
Conversion rate	5 (63)	7 (15)	0.000
Surgical procedure			0.000
Resection with primary anastomosis	69 (39)	116 (96)
Protective ileostomy	10 (14)	9 (8)
Hartmann’s procedure	109 (61)	5 (4)
ICU admission			0.000
None	48 (27)	86 (71)
1-2 d	67 (38)	29 (23)
3-4 d	25 (14)	3 (3)
≥ 5 d	38 (21)	3 (3)
Morbidity	107 (60)	44 (36)	0.000
Minor complications	36 (20)	20 (17)	0.177
Wound infection	28 (16)	14 (12)
Urinary tract infection	8 (4)	6 (5)
Major complications	71 (40)	24 (20)	0.000
Anastomotic leakage	2 (1)	8 (7)
Necrotic ostomy	4 (2)	2 (2)
Cardiopulmonary	29 (16)	5 (4)
Intraabdominal abscess	8 (5)	1 (1)
Evisceration	5 (3)	3 (2)
Other	23 (13)	5 (4)
Mortality	28 (16)	1 (1)	0.000

ICU: Intensive care unit; GI: Gastrointestinal.