Frontiers in Surgery (Oct 2021)

Elective Surgery for Diverticulitis in Swiss Hospitals

  • Seraina Faes,
  • Martin Hübner,
  • Nicolas Demartines,
  • Dieter Hahnloser,
  • David Martin,
  • The Swiss Snapshot Diverticulitis Group,
  • Paolo Abitabile,
  • Dritan Abrazhda,
  • Michele Arigoni,
  • Vahid Bakhshi-Tahami,
  • Jean-Pierre Barras,
  • Thomas Beck,
  • Vincent Bettschart,
  • Paul Biegger,
  • Karin Bläuer,
  • Stefan Breitenstein,
  • Franziska Brinkmann,
  • Lukas Brügger,
  • Hans Brunner,
  • Walter Brunner,
  • Claude Bussard,
  • Jean-Marie Calmes,
  • Jean-Pierre Chevalley,
  • Michael Chilcott,
  • Denis Christinaz,
  • Dimitri Christoforidis,
  • Carlo Coduri,
  • Nadine Crivelli,
  • Aris D'Ambrogio,
  • Branimir Damjanovic,
  • Wiebke Decking,
  • Diego De Lorenzi,
  • Charles de Montmollin,
  • Sona Deretti,
  • Alexandre Descloux,
  • Urs Diener,
  • Marco Di Lazzaro,
  • Luca Di Mare,
  • Rok Dolanc,
  • Andrea Donadini,
  • Georg Donner,
  • Bernhard Egger,
  • Michel Erne,
  • Fabrizio Fasolini,
  • Charlotte-Ulrike Finkenzeller,
  • Ivo Ralf Fischer,
  • Daniel Frey,
  • Raffaele Galli,
  • Walter Gantert,
  • Alain Garcia,
  • Jörg Genstorfer,
  • Pascal Gervaz,
  • Bijan Ghavami,
  • Nicola Ghisletta,
  • Duri Gianom-Campell,
  • Mauro Giuliani,
  • Christine Glaser,
  • Emanuel Gmür,
  • Federico Goti,
  • Jürg Gresser,
  • Felix Grieder,
  • Gerald Gubler,
  • Adriano Guerra,
  • Silvio Gujer,
  • Jürg Gurzeler,
  • Susanne Habelt,
  • Peter Häfliger,
  • Andres Heigl,
  • Dominik Heim,
  • Juliette Henri,
  • Mark Henschel,
  • Rudolf Herzig,
  • Franc Hetzer,
  • Henry Hoffmann,
  • Markus Huber,
  • Regula Humm,
  • Adrienne Imhof,
  • Daniel Inderbitzin,
  • Manuel Jakob,
  • Renata Jori,
  • Philomena Kastner,
  • Andreas Keerl,
  • Ulf Kessler,
  • Philipp Kirchhoff,
  • Jennifer Klasen,
  • Katrin Kleinschmidt,
  • Jürg Knaus,
  • Markus Koch,
  • Michael Kodsi,
  • Erwin Kohlberger,
  • Stefan Kull,
  • Beat Künzli,
  • Sebastian Lamm,
  • Stéphanie Laperrousaz,
  • André Leuenberger,
  • Patrick Mäder,
  • Styliani Mantziari,
  • Florian Martens,
  • Lukas Marti,
  • Olivier Martinet,
  • Jean Mégevand,
  • Gian Melcher,
  • Antoine Meyer,
  • Pierre Meyer,
  • Philippe Morel,
  • Murielle Mormont,
  • Beat Muggli,
  • Markus Müller,
  • Stephan Müller,
  • Andrew Munday,
  • Surennaidoo Naiken,
  • Antonio Nocito,
  • Peter Nussbaumer,
  • Daniel Oertli,
  • Alexandre Paroz,
  • Angelo Pelloni,
  • Jörg Peltzer,
  • Matthias Peter,
  • Sebastian Pohle,
  • Philippe Posso,
  • Hervé Probst,
  • Alexander Radke,
  • Martin Reber,
  • Luca Regusci,
  • Verena Reichl,
  • Andreas Remiger,
  • Jean-Claude Renggli,
  • Monika Richter,
  • Paavo Rillmann,
  • Frédéric Ris,
  • Nadja Ristagno,
  • Luca Rondi,
  • Robert Rosenberg,
  • Raffaele Rosso,
  • Alend Saadi,
  • Bernd Schenkluhn,
  • Martin Schilling,
  • Rolf Schlumpf,
  • Bruno Schmied,
  • Michael Schmitz,
  • Rémi Schneider,
  • Othmar Schöb,
  • Claudio Soravia,
  • René Spalinger,
  • Rudolf Steffen,
  • Daniel Steinemann,
  • Reto Stocker,
  • Ulrich Stricker,
  • Alexander Stupnicki,
  • Michel Suter,
  • Daniel Tassile,
  • Adrien Tempia,
  • Derya Topal,
  • Rebekka Troller,
  • Daniel Trötschler,
  • Cédric Vallet,
  • Denise Vettorel,
  • Carsten Viehl,
  • Peter Villiger,
  • Peter Vogelbach,
  • Marco von Strauss und Torney,
  • Stephan Vorburger,
  • Matthias Walting,
  • Markus Weber,
  • Heinz Wehrli,
  • Bernhard Widmann,
  • Stefan Wildi,
  • Alessandro Wildisen,
  • Bernd Wilhelm,
  • Mariano Winckler,
  • Marc Worreth,
  • Jörg Wydler,
  • Sidika Yakarisik,
  • Urs Zingg,
  • Christof Zöllner,
  • Markus Zuber,
  • Michael Zünd

DOI
https://doi.org/10.3389/fsurg.2021.717228
Journal volume & issue
Vol. 8

Abstract

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Objective: To assess current management of diverticulitis in Switzerland.Methods: Prospective observational study of diverticulitis management and outcomes in surgical departments over a 3-month time period. Hospital category was graded according to the Swiss Medical Association (FMH) as: U: University; A: Cantonal; B: Regional; P: Private.Results: 75 participating hospitals treated 1,015 patients, among whom 214 patients (21%) had elective sigmoid resections in 49 hospitals. Indication for elective resection were recurrent diverticulitis, previous complicated diverticulitis, fistulas, and stenosis. Surgeries were performed completely laparoscopically in 185 cases (86%) and required conversion to open in 19 cases (9%). Overall postoperative complication rate was 18% (n = 39) and no mortality was observed. Operation time, surgeons experience and hospital stay differed considerably between hospital categories.Conclusions: Elective sigmoid resection for diverticulitis in Switzerland was mainly performed laparoscopically with low postoperative morbidity. Different practices and outcomes between institutions were observed.

Keywords