Impact of the first wave of COVID-19 epidemy on the surgical management of sigmoid diverticular disease in France: National French retrospective study
International Journal of Colorectal Disease(2023)
摘要
Objective To analyze the surgical management of sigmoid diverticular disease (SDD) before, during, and after the first containment rules (CR) for the first wave of COVID-19. Methods From the French Surgical Association multicenter series, this study included all patients operated on between January 2018 and September 2021. Three groups were compared: A (before CR period: 01/01/18–03/16/20), B (CR period: 03/17/20–05/03/20), and C (post CR period: 05/04/20–09/30/21). Results A total of 1965 patients (A n = 1517, B n = 52, C n = 396) were included. The A group had significantly more previous SDD compared to the two other groups ( p = 0.007), especially complicated ( p = 0.0004). The rate of peritonitis was significantly higher in the B (46.1%) and C (38.4%) groups compared to the A group (31.7%) ( p = 0.034 and p = 0.014). As regards surgical treatment, Hartmann’s procedure was more often performed in the B group (44.2%, vs A 25.5% and C 26.8%, p = 0.01). Mortality at 90 days was significantly higher in the B group (9.6%, vs A 4% and C 6.3%, p = 0.034). This difference was also significant between the A and B groups ( p = 0.048), as well as between the A and C groups ( p = 0.05). There was no significant difference between the three groups in terms of postoperative morbidity. Conclusion This study shows that the management of SDD was impacted by COVID-19 at CR, but also after and until September 2021, both on the initial clinical presentation and on postoperative mortality.
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关键词
Sigmoid diverticular disease,COVID-19,Surgical management
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