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Is it safe and useful, laparoscopic peritoneal lavage in the treatment of acute diverticulitis of octogenarian patients? A multicenter retroprospective observational study

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Abstract

Background

Diverticular disease of the colon also affects older people. Generally, older patients with diverticulitis may be regarded as too risky to undergo surgery. This retroprospective multicentric observational study aims to assess the safety and benefits of laparoscopic peritoneal lavage (LPL) in elderly patients with perforated sigmoid diverticulitis.

Patients and method

We hospitalized in urgency 100 patients, aged over 75, for sigmoid diverticulitis. Sixty-nine patients were treated with conservative medical therapy, while 31 were treated surgically, in which the surgery was performed in urgency in 18 cases, while in election in 13 cases. Laparoscopic peritoneal lavage was made in urgency in five cases.

Results

The mean age of the sample was 81.72. Thirty-one patients underwent surgery, and five patients were treated in urgency with laparoscopic peritoneal lavage. Perioperative mortality was zero. None of the patients who underwent laparoscopic peritoneal lavage showed recurrent disease.

Conclusion

Diagnostic laparoscopy can be useful in elderly patient, since these patients may benefit from a more conservative surgical strategy. The selection of patients to be subjected to laparoscopic lavage must be very rigorous.

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Abbreviations

LPL:

Laparoscopic peritoneal lavage

Pt:

Patient

CT:

Computed tomography

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Acknowledgements

The authors declare that they have received no funding for the study.

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Authors and Affiliations

  1. Department of General and Oncological Surgery, University of Perugia, Località Sant’Andrea delle Fratte, 1, 06134, Perugia, Italy

    Carlo Boselli, Alessandro Gemini, Roberto Cirocchi, Veronica Grassi & Maria Federica Burattini

  2. Department of General Surgery, Terni Saint Mary Hospital, University of Perugia, Via Tristano di Joannuccio, 1, 05100, Terni, Italy

    Stefano Avenia, Andrea Polistena, Alessandro Sanguinetti & Nicola Avenia

  3. Department of Surgical Sciences, Sapienza University of Rome, Viale Regina Elena, 32400161, Rome, Italy

    Daniele Pironi & Alberto Santoro

  4. Department of Gastrointestinal and General Surgery, Medical University of Wrocław, Wrocław, Poland

    Renata Tabola

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  1. Carlo Boselli
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  2. Alessandro Gemini
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  3. Roberto Cirocchi
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  4. Veronica Grassi
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Conflict of interest

All authors listed have contributed sufficiently to the project to be included as authors, and to the best of our knowledge, no conflict of interest, financial or other exists.

Statement of human and animal rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.

Informed consent

To the radiological procedure and to the processing of own personal data was obtained from each individual study participant. In accordance with Italian Drug Agency (AIFA) guidelines, observational studies using retrospective data or materials do not require formal approval by the local ethics committee.

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Boselli, C., Gemini, A., Cirocchi, R. et al. Is it safe and useful, laparoscopic peritoneal lavage in the treatment of acute diverticulitis of octogenarian patients? A multicenter retroprospective observational study. Aging Clin Exp Res 29 (Suppl 1), 83–89 (2017). https://doi.org/10.1007/s40520-016-0644-0

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  • DOI: https://doi.org/10.1007/s40520-016-0644-0

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