To date, the appropriate management of diverticular disease is still controversial. The American Society of Colon and Rectal Surgeons declared that the decision between conservative or surgical approach should be taken by a case-by-case evaluation. There is still lack of evidence in literature about long-term outcomes after elective sigmoid resection for diverticular disease. Considering the potentially key role of the surgical technique in long-term outcomes, there is the need for surgeons to define strict rules to standardize the surgical technique. Currently there are 5 areas of debate in elective surgery for diverticular disease: laparoscopic versus open approach, the site of the proximal and distal colonic division, the vascular approach and the mobilization of the splenic flexure. The purpose of this paper is to review existing knowledge about technical aspects, which represent how the surgeon is able to affect the long-term results.

Biondi, A., Santullo, F., Fico, V., Persiani, R., Long-term outcomes of elective surgery for diverticular disease: A call for standardization, <<JOURNAL OF CLINICAL GASTROENTEROLOGY>>, 2016; 50 (50 Suppl 1:S77-9): S77-S79. [doi:10.1097/MCG.0000000000000599] [http://hdl.handle.net/10807/95323]

Long-term outcomes of elective surgery for diverticular disease: A call for standardization

Biondi, Alberto
Primo
;
Santullo, Francesco
;
Fico, Valeria
Penultimo
;
Persiani, Roberto
Ultimo
2016

Abstract

To date, the appropriate management of diverticular disease is still controversial. The American Society of Colon and Rectal Surgeons declared that the decision between conservative or surgical approach should be taken by a case-by-case evaluation. There is still lack of evidence in literature about long-term outcomes after elective sigmoid resection for diverticular disease. Considering the potentially key role of the surgical technique in long-term outcomes, there is the need for surgeons to define strict rules to standardize the surgical technique. Currently there are 5 areas of debate in elective surgery for diverticular disease: laparoscopic versus open approach, the site of the proximal and distal colonic division, the vascular approach and the mobilization of the splenic flexure. The purpose of this paper is to review existing knowledge about technical aspects, which represent how the surgeon is able to affect the long-term results.
Inglese
Biondi, A., Santullo, F., Fico, V., Persiani, R., Long-term outcomes of elective surgery for diverticular disease: A call for standardization, <<JOURNAL OF CLINICAL GASTROENTEROLOGY>>, 2016; 50 (50 Suppl 1:S77-9): S77-S79. [doi:10.1097/MCG.0000000000000599] [http://hdl.handle.net/10807/95323]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10807/95323
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