Prospective evaluation of functional outcome after laparoscopic sigmoid colectomy with division of the inferior mesenteric artery at its origin for diverticular disease in consecutive male patients

Abstract : This is a monocentric prospective observational study that included consecutively 19 male patients between May 2010 and July 2017, who had a laparoscopic sigmoid colectomy with division of the inferior mesenteric artery at its origin for diverticulitis. Patients completed a questionnaire before and 6 months after surgery to determine the functional impact of this surgical technique. Whether for sexual, urinary or anorectal functions, we did not find any significant difference between preoperative and postoperative results. On the other hand, there is a significant improvement in the quality of life after surgery. The mean operating time was 175 minutes. Mortality was zero. Morbidity was 11% (2 minor events). The length of hospital stay was 6 days. Ligature at the origin of the inferior mesenteric artery does not increase the incidence of functional disorders. This result have to be confirmed by a randomized controlled trial.
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Master Thesis
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Mathieu Jolivet. Prospective evaluation of functional outcome after laparoscopic sigmoid colectomy with division of the inferior mesenteric artery at its origin for diverticular disease in consecutive male patients. Human health and pathology. 2017. ⟨dumas-01618153⟩

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