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World J Gastrointest Surg. Aug 27, 2013; 5(8): 245-251
Published online Aug 27, 2013. doi: 10.4240/wjgs.v5.i8.245
Published online Aug 27, 2013. doi: 10.4240/wjgs.v5.i8.245
Table 1 Patients’ characteristics
| OHR(n = 18) | LHR(n = 28) | P value | |
| Age (yr) | 61.4 ± 12.8 | 54.9 ± 15.4 | 0.1 |
| Male/female ratio | 5/13 | 12/16 | 0.3 |
| Body masse index (kg/m2) | 24.8 ± 2.9 | 24.1 ± 3.1 | 0.4 |
| ASA score | 0.06 | ||
| I | 4 (22.2) | 16 (57.1) | |
| II | 12 (66.7) | 10 (35.7) | |
| III | 2 (11.1) | 2 (7.1) | |
| Comorbidity | 10 (55.6) | 10 (35.7) | 0.2 |
| Diabetes | 2 (11.1) | 3 (10.7) | |
| Cardiovascular disease | 9 (50) | 9 (32.1) | |
| Pulmonary disease | 4 (22.2) | 2 (7.1) | |
| Hinchey Score at HP | 0.5 | ||
| III | 14 (77.7) | 20 (71.4) | |
| IV | 4 (22.3) | 8 (28.6) | |
| Episodes of acute diverticulitis | 0.2 | ||
| before HP | |||
| None | 13 (72.2) | 16 (57.1) | |
| One | 5 (27.8) | 8 (28.6) | |
| Two or more | 0 (0) | 4 (14.3) | |
| Mean time from HP to reversal (d) | 143.7 ± 64.8 | 129.1 ± 62.8 | 0.4 |
Table 2 Operative variables
| OHR (n = 18) | LHR (n = 28) | P value | |
| Extent of mobilization | 0.5 | ||
| Splenic flexure | 16 (88.9) | 27 (96.4) | |
| Transverse | 2 (11.1) | 1 (3.6) | |
| Stapled end-to-end anastomosis N° (mm) | 0.07 | ||
| N° 28 | 0 (0) | 2 (7.1) | |
| N° 29 | 18 (100) | 21 (75) | |
| N° 31 | 0 (0) | 5 (17.9) | |
| Operation time (min) | 235.8 ± 43.6 | 171.1 ± 27.4 | 0.001 |
| Estimated blood loss (mL) | 301.1 ± 54.6 | 225 ± 38.6 | 0.001 |
Table 3 Post-operative variables
| OHR (n = 18) | LHR (n = 28) | P value | |
| Time to Flatus (d) | 4.3 ± 1.7 | 3 ± 1.3 | 0.006 |
| Time to Resumption to regular diet (d) | 5.5 ± 1.7 | 3.9 ± 1.2 | 0.001 |
| Length of hospital stay (d) | 11.2 ± 5.1 | 6.7 ± 1.9 | <0.001 |
| 1 mo complication rate | 6 (33.3) | 1 (3.6) | 0.004 |
| Wound infection | 6 (33.3) | 0 | |
| Hemorrhage | 0 | 1 (3.6) | |
| 12 mo complication rate | 5 (27.8) | 3 (10.7) | 0.03 |
| Midline incisional hernia | 4 (22.2) | 0 | |
| Incisional hernia of the previous colostomy | 1 (5.6) | 3 (10.7) |
- Citation: de’Angelis N, Brunetti F, Memeo R, Batista da Costa J, Schneck AS, Carra MC, Azoulay D. Comparison between open and laparoscopic reversal of Hartmann’s procedure for diverticulitis. World J Gastrointest Surg 2013; 5(8): 245-251
- URL: https://www.wjgnet.com/1948-9366/full/v5/i8/245.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v5.i8.245