Laparoscopic approach in complicated diverticular disease

Table 1 Preoperative variables n (%)

Examined variables	Complicated diverticular disease (G1)	Uncomplicated diverticular disease (G2)	P value
	[n = 72 (28)]	[n =188 (72)]
Sex			0.474 (N/S)
Females	24 (33)	73 (39)	χ2
Males	48 (67)	115 (61)
Age (yr)	58 ± 12 (29-84)	57 ± 11 (27-89)	0.178 (N/S)
			t-test
BMI (kg/m2)	26 ± 4 (19-41)	26 ± 4 (17-41)	0.112 (N/S)
			t-test
ASA
I	16 (22)	50 (27)	0.057 (N/S)
II	47 (65)	128 (68)	χ2
III	9 (13)	10 (5)
Previous abdominal surgery	37 (51)	107 (57)	0.605 (N/S)
			χ2
Previous episodes of diverticulitis	1.36 ± 1.4 (0-5)	2.42 ± 1.3 (0-10)	< 0.05
			t-test

N/S: No statistical significance; BMI: Body mass index; ASA: American Society of Anesthesiology.

Table 2 Intraoperative variables n (%)

Examined variables	Complicated diverticular disease (G1)	Uncomplicated diverticular disease (G2)	P value
	[n = 72 (28)]	[n =188 (72)]
Operative time (min)	193 ± 66 (80-345)	156 ± 58 (65-400)	< 0.05
			t-test
Intra-operative complications	3 (4)	4 (2)	0.892 (N/S)
	2 iatrogenic colonic/rectal perforation	1 epigastric vessels lesion	χ2
	1 bladder injury	2 spleen injuries
		1 ureteric injury
Conversion rate	13 (18)	6 (3)	< 0.05
			χ2
Length of colon resected (cm)	23 ± 8 (11-4.5)	22 ± 8 (10-53)	0.531 (N/S)
			t-test

N/S: No statistical significance.

Table 3 Gastrointestinal recovery

Examined variables	Complicated diverticular disease (G1)	Uncomplicated diverticular disease (G2)	P value
	n: 72 (28%)	n: 188 (72%)
Intake > 1000 mL	Day 2.1 ± 2.1 (0-10)	Day 1 ± 0.8 (0.5)	< 0.05
			t-test
Intake normal diet	Day 3.1 ± 2.2 (1-11)	Day 1.8 ± 1 (0-7)	< 0.05
			t-test
Bowel sound +	Day 1 ± 0.6 (0-3)	Day 0.6 ± 0.6 (0-4)	< 0.05
			t-test
Gases +	Day 1.9 ± 1.4 (0-7)	Day 1.4 ± 0.7 (0-5)	< 0.05
			t-test
Length of stay (d)	4.7 ± 3.1 (2-15)	3.3 ± 1.8 (1-17)	< 0.05
			t-test

Table 4 Postoperative complications n (%)

Examined variables	Complicated diverticular disease (G1)	Uncomplicated diverticular disease (G2)	P value
	[n = 72 (28)]	[n = 188 (72)]
Grade I	8 (11.1)	6 (3.19)	< 0.05
	1 urinary retention	1 urinary retention	χ2
	1 vomits	2 vomits
	1 surgical site hematoma	2 surgical site hematoma
	5 ileus > 72 h	1 ileus
Grade II	6 (8.3)	9 (4.78)	0.426 (N/S)
	1 phlebilis	4 surgical site infection	χ2
	4 surgical site infection	2 urinary infection
	1 fever syndrome with normal CT	3 fever syndrome with normal CT
Grade IIIA	0 (0)	1 (0.53)	0.610 (N/S)
		1 pancreatic fistula	χ2
Grade IIIB	2 (2.7)	6 (3.1)	0.897 (N/S)
	2 anastomotic leak	2 hemoperitoneum	χ2
		4 anastomotic leak
Grade IV	0 (0)	0 (0)	-
Grade V	0 (0)	1 (0.53)	0.610 (N/S)
			χ2
Total	16 (22)	23 (12)	0.053 (N/S)
			χ2

N/S: No statistical significance; CT: Computed tomography.