LAPAROSCOPY IN THE TREATMENT OF COLONIC DIVERTICULAR BLEEDING

  • O. B. Tymchuk
  • M. A. Kashtalyan
  • V. Yu. Shapovalov
Keywords: laparoscopy, colonic bleeding, diverticular disease.

Abstract

Summary. Objective. To analyze the experience of treatment of patients with diverticular disease of the colon, complicated by bleeding.

Materials and methods. Analyzed the treatment of 221 patients, hospitalized in the Military Medical Clinical Center of the Southern region of Odessa, who underwent 263 surgeries for 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. In 9 patients, bleeding was stopped by conservative methods. 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), righthemicolectomy (1). At 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. The average duration of the postoperative period was (9.75 ± 1.2) days. With left-sided traditional hemicolec-tomy — the average duration of the operation — (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 in both laparoscopic and «traditional» open, the duration of the postoperative period with laparoscopic intervention is lower, the intensity of pain and recovery time of bowel function in the group of patients who also performed laparoscopic surgery. compared to traditional access operations.

References

1. Boynton W, Floch M: New strategies for the management of diverticular disease: In sights for the clinician. Therap Adv Gastroenterol 6(3):205–213, 2013. doi: 10.1177/1756283X13478679.
2. Elisei W, Tursi A: Recent advances in the treatment of colonic diverticular disease and prevention of acute diverticulitis. Ann Gastroenterol 29(1):24–32, 2016.
3. Farell JJ. Review article: the management of lower gastrointestinal bleeding. Aliment Pharmacol Ter 2005; 21: 1281-1298
4. Feingold D, Steele SR, Lee S, Kaiser A, Boushey R, Buie WD, Rafferty JF. Practiceparameters for the treatment of sigmoid diverticulitis. Dis Colon Rectum. 2014;57: 284–294.
Published
2021-03-20
How to Cite
Tymchuk, O. B., Kashtalyan, M. A., & Shapovalov, V. Y. (2021). LAPAROSCOPY IN THE TREATMENT OF COLONIC DIVERTICULAR BLEEDING. Kharkiv Surgical School, (1), 92-95. https://doi.org/10.37699/2308-7005.1.2021.17
Section
QUESTIONS OF GASTROINTESTINAL TRACT