Trial reportSurgical endoscopy2011
Laparoscopic versus open sigmoid resection for diverticulitis: long-term results of a prospective, randomized trial.
Trial report in Surgical endoscopy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00453830 (Laparoscopic Versus Open Sigmoid Colectomy for Diverticular Disease), which is not on this map. Cited by 23 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Laparoscopic Versus Open Sigmoid Colectomy for Diverticular Disease: A Prospective Randomized Single-Blind Trial
Who cites it
23 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Cost-effectiveness comparison of minimally invasive, robotic and open approaches in colorectal surgery: a systematic review and bayesian network meta-analysis of randomized clinical trials.International journal of colorectal disease · 2023Pooled it
- An evidence map and synthesis review with meta-analysis on the risk of incisional hernia in colorectal surgery with standard closure.Hernia : the journal of hernias and abdominal wall surgery · 2022Pooled it
- Surgical resection does not avoid the risk of diverticulitis recurrence-a systematic review of risk factors.International journal of colorectal disease · 2021Pooled it
- The role of emergency laparoscopic surgery for complicated diverticular disease: A systematic review and meta-analysis.Medicine · 2020Pooled it
- Laparoscopic versus open resection for sigmoid diverticulitis.The Cochrane database of systematic reviews · 2017Pooled it
- Small bowel obstruction and incisional hernia after laparoscopic and open colorectal surgery: a meta-analysis of comparative trials.Surgical endoscopy · 2017Pooled it
- Quality of life with diverticular disease: translation and validation of the German version of the diverticulitis quality of life questionnaire (DV-QOL).Techniques in coloproctology · 2024Article
- A rare case of sigmoid diverticulitis presenting as colocutaneous left lumbar fistula.Journal of surgical case reports · 2024Article
- A reduction in hospital length of stay reduces costs for colorectal surgery: an economic evaluation of the National Surgical Quality Improvement Program in Singapore.International journal of colorectal disease · 2023Article
- Early elective versus elective sigmoid resection in diverticular disease: not only timing matters-a single institutional retrospective review of 133 patients.Langenbeck's archives of surgery · 2022Article
- State-of-the-art surgery for sigmoid diverticulitis.Langenbeck's archives of surgery · 2022Article
- Update on the management of sigmoid diverticulitis.World journal of gastroenterology · 2021Review
- Complicated Diverticular Disease.Clinics in colon and rectal surgery · 2021Review
- Minimally Invasive Management of Diverticular Disease.Clinics in colon and rectal surgery · 2021Review
- Health-related quality of life and functional disorders after diverticular surgery.Therapeutic advances in gastroenterology · 2021Review
- Validating the Japanese version of the Gastrointestinal Quality of Life Index (GIQLI) questionnaire.Annals of gastroenterological surgery · 2020Article
- Laparoscopic Versus Open Emergent Sigmoid Resection for Perforated Diverticulitis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020Article
- Minimally Invasive Surgery for Complicated Diverticulitis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2017Review
- National complicated acute diverticulitis (CADS) study: a protocol for a prospective observational scoping study for acute diverticulitis.BMJ open gastroenterology · 2016Article
- Validation of the SF-36 as a measure of postoperative recovery after colorectal surgery.Surgical endoscopy · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundElective laparoscopic sigmoid resection for diverticulitis has proven short-term benefits, but little data are available from prospective randomized trials regarding long-term outcome, quality of life, and functional results.
methodsOf 113 patients randomized to undergo laparoscopic (LAP) versus open (OP) sigmoid resection for diverticulitis, 105 (93%, LAP = 54, OP = 51) patients were examined and answered the Gastrointestinal Quality of Life Index (GIQLI) questionnaire, with a median follow-up of 30 (range, 9-63) months after surgery.
resultsIncisional hernias were detected in five (9.8%) patients in the OP group versus seven (12.9%) in the LAP group, P = 0.84). Overall satisfaction with the operation on a scale of 0 (very poor) to 10 (excellent) was 9 (range, 2-10) in the OP group versus 9 (range, 2-10) in the LAP group (P = 0.78). Median GIQLI score was 115 (range, 57-144) in the OP group versus 110 (range, 61-134) in the LAP group (P = 0.17). Overall satisfaction with the cosmetic aspect of the scar on a scale of 0 (very poor) to 10 (excellent) was 8 (range, 1-10) in the OP group versus 9 (range, 0-10) in the LAP group (P = 0.01). Finally, median hospital cost (including reoperations for hernias) was 11,606 (5,230-147,982) CHF in the LAP group versus 12,138 (6,098-39,786) CHF in the OP group (P = 0.47).
conclusionsBoth open and laparoscopic approaches for sigmoid resection achieve good long-term results in terms of gastrointestinal function, quality of life, and patients' satisfaction. Significant long-term benefits of laparoscopic surgery are restricted to cosmetic (ClinicalTrials.gov protocol #NCT00453830).
Indexed as
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.