VIDEOLAPAROSCOPY IN THE TREATMENT OF COLON DIVERTICULAR BLEEDING.
EAES Academy. Shapovalov V. 07/05/22; 362982; P025
Prof. Vitalii Shapovalov
Contributions
Contributions
Abstract
Objective:
to analyze the experience of treatment of patients with diverticular disease of the colon, complicated by bleeding.
Materials and methods: The treatment of 221 patients was analyzed, hospitalized in the Military Medical Clinical Center of the Southern region of Odessa who underwent 263 surgeries for the diverticular disease of the colon and its complications. Intestinal bleeding as a cause of hospitalization was noted in 17 (7.6%) patients.
Results and discussion: Bleeding was stopped by conservative methods in 9 patients. 8 patients underwent surgical treatment. The following surgical interventions were performed: laparoscopic left hemicolectomy (4), laparoscopic resection of the sigmoid colon (1), left hemicolectomy (3), and right hemicolectomy (1). In laparoscopic left hemicolectomy the average duration of operation made 205 ± 12.5 min. The average duration of the postoperative period was 9.75 ± 1.2 days. In left-sided traditional hemicolectomy, the average duration of the operation was 215 ± 16.3 min, the average duration of the postoperative period - 14.5 ± 2.1 days.
Conclusions:
our experience showed the relative duration of surgery both in laparoscopic and "traditional" open one, the duration of the postoperative period in laparoscopic intervention was lower, the intensity of pain and the recovery time of the bowel function in the group of patients who was performed laparoscopic surgery was also lower compared to traditional access operations.
to analyze the experience of treatment of patients with diverticular disease of the colon, complicated by bleeding.
Materials and methods: The treatment of 221 patients was analyzed, hospitalized in the Military Medical Clinical Center of the Southern region of Odessa who underwent 263 surgeries for the diverticular disease of the colon and its complications. Intestinal bleeding as a cause of hospitalization was noted in 17 (7.6%) patients.
Results and discussion: Bleeding was stopped by conservative methods in 9 patients. 8 patients underwent surgical treatment. The following surgical interventions were performed: laparoscopic left hemicolectomy (4), laparoscopic resection of the sigmoid colon (1), left hemicolectomy (3), and right hemicolectomy (1). In laparoscopic left hemicolectomy the average duration of operation made 205 ± 12.5 min. The average duration of the postoperative period was 9.75 ± 1.2 days. In left-sided traditional hemicolectomy, the average duration of the operation was 215 ± 16.3 min, the average duration of the postoperative period - 14.5 ± 2.1 days.
Conclusions:
our experience showed the relative duration of surgery both in laparoscopic and "traditional" open one, the duration of the postoperative period in laparoscopic intervention was lower, the intensity of pain and the recovery time of the bowel function in the group of patients who was performed laparoscopic surgery was also lower compared to traditional access operations.
Objective:
to analyze the experience of treatment of patients with diverticular disease of the colon, complicated by bleeding.
Materials and methods: The treatment of 221 patients was analyzed, hospitalized in the Military Medical Clinical Center of the Southern region of Odessa who underwent 263 surgeries for the diverticular disease of the colon and its complications. Intestinal bleeding as a cause of hospitalization was noted in 17 (7.6%) patients.
Results and discussion: Bleeding was stopped by conservative methods in 9 patients. 8 patients underwent surgical treatment. The following surgical interventions were performed: laparoscopic left hemicolectomy (4), laparoscopic resection of the sigmoid colon (1), left hemicolectomy (3), and right hemicolectomy (1). In laparoscopic left hemicolectomy the average duration of operation made 205 ± 12.5 min. The average duration of the postoperative period was 9.75 ± 1.2 days. In left-sided traditional hemicolectomy, the average duration of the operation was 215 ± 16.3 min, the average duration of the postoperative period - 14.5 ± 2.1 days.
Conclusions:
our experience showed the relative duration of surgery both in laparoscopic and "traditional" open one, the duration of the postoperative period in laparoscopic intervention was lower, the intensity of pain and the recovery time of the bowel function in the group of patients who was performed laparoscopic surgery was also lower compared to traditional access operations.
to analyze the experience of treatment of patients with diverticular disease of the colon, complicated by bleeding.
Materials and methods: The treatment of 221 patients was analyzed, hospitalized in the Military Medical Clinical Center of the Southern region of Odessa who underwent 263 surgeries for the diverticular disease of the colon and its complications. Intestinal bleeding as a cause of hospitalization was noted in 17 (7.6%) patients.
Results and discussion: Bleeding was stopped by conservative methods in 9 patients. 8 patients underwent surgical treatment. The following surgical interventions were performed: laparoscopic left hemicolectomy (4), laparoscopic resection of the sigmoid colon (1), left hemicolectomy (3), and right hemicolectomy (1). In laparoscopic left hemicolectomy the average duration of operation made 205 ± 12.5 min. The average duration of the postoperative period was 9.75 ± 1.2 days. In left-sided traditional hemicolectomy, the average duration of the operation was 215 ± 16.3 min, the average duration of the postoperative period - 14.5 ± 2.1 days.
Conclusions:
our experience showed the relative duration of surgery both in laparoscopic and "traditional" open one, the duration of the postoperative period in laparoscopic intervention was lower, the intensity of pain and the recovery time of the bowel function in the group of patients who was performed laparoscopic surgery was also lower compared to traditional access operations.
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