Location is everything: The role of splenic flexure mobilization during colon resection for diverticulitis

Andrew T. Schlussel, Jason T. Wiseman, John F. Kelly, Jennifer S. Davids, Justin A. Maykel, Paul R. Sturrock, William B. Sweeney, Karim Alavi*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

Introduction Routine splenic flexure mobilization (SFM) has been previously recommended to ensure an adequate length for a tension free anastomosis during resection for diverticulitis. We sought to evaluate the role of selective SFM for diverticulitis, and its impact on outcomes. Materials and methods Retrospective review of elective colectomies at a tertiary care center (2007–2015) for left-sided diverticulitis were identified from the National Surgical Quality Improvement Program. Demographics and perioperative characteristics were compared; and 30-day risk-adjusted outcomes were assessed. Results We identified 208 sigmoid/left colectomy cases. A laparoscopic approach predominated (71%), and SFM was performed in 54% of cases (n = 113). Demographics and comorbidities were similar. Median operative time was greater in the SFM group [226; interquartile range (IQR): (190–267) minutes] compared to no mobilization [180; IQR: (153–209) minutes] (p < 0.01). After risk adjustment, SFM was associated with a trend towards an increased rate of a minor morbidity (OR: 2.8; p = 0.05). Conclusion Splenic flexure mobilization was performed selectively in half of colectomies evaluated. This technique was associated with a trend towards an increased rate of minor complications, with no difference in major adverse events, including organ space infections. These findings suggest that for patient with diverticulitis, SFM should be performed in an individualized fashion.

Original languageEnglish
Pages (from-to)124-129
Number of pages6
JournalInternational Journal of Surgery
Volume40
DOIs
StatePublished - 1 Apr 2017
Externally publishedYes

Keywords

  • Diverticulitis
  • Outcomes
  • Splenic flexure mobilization

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