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João Odilo Gonçalves Pinto et al

TABLE 9: Risk factors studied in multivariate analysis of postoperative functional disorder

Odds ratio SE p-value
Associated lesions 3.19 1.7 0.029
Length of the associated procedures (min) 1.0088 .0064851 0.173

TABLE 10: Intraoperative complications (n = 10, 4.89%)

Complication Nr Management
Tear of the mesocolon 1 Laparoscopic repair
Colonic injury 3 Conversion for repair (01 case)
Laparoscopic repair (02 cases)
Inferior mesenteric artery injury 1 Laparoscopic repair
Superficial epigastric vessels injury 1 Laparoscopic repair
Hypogastric artery injury 1 Laparoscopic repair
External iliac artery injury 1 Conversion for ligature
Left ureter injury 1 Laparoscopic repair
Tear of rectal stump below anastomosis 1 Conversion for repair
Total 10

BIBLIOGRAPHY 9. Shaikh S, Krukowski ZH. Outcomes of a conservative policy
for managing acute sigmoid diverticulitis. Br J Surg 2007;94:
1. Lee SW, Yoo J, Dujovny N, Sonoda T, Milsom JW. Laparos- 876-79.
copic vs. hand-assisted laparoscopic sigmoidectomy for
diverticulitis. Dis Colon Rectum 2006;49:464-69. 10. Farmakis N, Tudor RG, Keighley MR. The 5-year natural history
2. Rafferty J, Shellito P, Hyman NH, Buie WD and the Standards of complicated diverticular disease. Br J Surg 1994;81: 733-35.
Committee of the American Society of Colon and Rectal 11. Ambrosetti P, Robert J, Witzig JA, Mirescu D, de Gautard R,
Surgeons. Practice Parameters For Sigmoid Diverticulitis. Dis Borst F, Meyer P, Rohner A. Prognostic factors from computed
tomography in acute left colonic diverticulitis. Br J Surg 1992;79:
Colon Rectum, 2006;49:939-44. 117-19.
3. Kohler L, Sauerland S, Neugebauer E. Diagnosis and 12. Pessaux P, Muscari F, Ouellet JF, Msika S, Hay JM, Millat B,
treatment of diverticular disease: results of a consensus Fingerhut A, Flamant Y. Risk factors for mortality and morbidity
development conference. The Scientific Committee of the after elective sigmoid resection for diverticulitis: prospective
European Association for Endoscopic Surgery. Surg Endosc multicenter multivariate analysis of 582 patients. World J Surg
1999;13:430-36. 2004;28:92-96.
4. Purkayastha S, Constantinides VA, Tekkis PP, Athanasiou T, 13. Stevenson AR, Stitz RW, Lumley JW, Fielding GA.
Aziz O, Tilney H, Darzi AW, Heriot AG. Laparoscopic vs Laparoscopically assisted anterior resection for diverticular
open surgery for diverticular disease: a meta-analysis of disease: follow-up of 100 consecutive patients. Ann Surg
nonrandomized studies. Dis Colon Rectum 2006;49:446-63. 1998;227:335-42.
5. Alves A, Panis Y, Slim K, Heyd B, Kwiatkowski F, Mantion G. 14. Trebuchet G, Lechaux D, Lecalve JL. Laparoscopic left colon
and the Association Française de Chirurgie. French multicentre resection for diverticular disease. Surg Endosc 2002;16:18-21.
prospective observational study of laparoscopic versus open 15. Pugliese R, Di Lernia S, Sansonna F, Scandroglio I, Maggioni D,
colectomy for sigmoid diverticular disease. Br J Surg Ferrari C, Costanzi A, Chiara O. Laparoscopic treatment of
2005;92:1520-25. sigmoid diverticulitis: a retrospective review of 103 cases. Surg
6. Chapman JR, Dozois EJ, Wolff BG, Gullerud RE, Larson DR. Endosc 2004;18:1344-48.
Diverticulitis: a progressive disease? Do multiple recurrences 16. Perniceni T, Burdy G, Gayet B, Dubois F, Boudet MJ, Levard
predict less favourable outcomes? Ann Surg 243: 876-830 H. Results of elective segmental colectomy done with
discussion 2006;880-83. laparoscopy for complicated diverticulosis. Gastroenterol Clin
Biol 2000;24:189-92.
7. Chapman J, Davies M, Wolff B, Dozois E, Tessier D, Harrington 17. Bouillot JL, Berthou JC, Champault G, Meyer C, Arnaud JP,
J, Larson D. Complicated diverticulitis: is it time to rethink the Samama G, Collet D, Bressler P, Gainant A, Delaitre B. Elective
rules? Ann Surg 2005;242:576-81 discussion 581-83. laparoscopic colonic resection for diverticular disease: results of
8. Ambrosetti P. Sigmoid diverticulitis: when and to whom should a multicenter study in 179 patients. Surg Endosc 2002;16:
an elective colectomy be offered? Ann Chir 2002;127: 413-15. 1320-23.

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