{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T20:59:05Z","timestamp":1761512345815},"reference-count":13,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2007,1,5]],"date-time":"2007-01-05T00:00:00Z","timestamp":1167955200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2007,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Emergency colectomy is well accepted for treating complicated right\u2010sided colonic diverticulitis. However, the role of colectomy for uncomplicated diverticulitis is not well defined. The aim of this study was to evaluate the short\u2010term and long\u2010term surgical outcome of uncomplicated right\u2010sided diverticulitis in our locality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>Retrospective chart review of patients operated for right\u2010sided diverticulitis over a 20\u2010year period was conducted. Recurrent attacks of right\u2010sided diverticulitis, re\u2010operation rate and re\u2010hospitalisation rate were the long\u2010term parameters of interest. An updated telephone interview was carried out for all surviving patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventy\u2010four patients (35\u00a0males and 39 females), median age 35.5 (range 16\u201370) years, were operated for uncomplicated diverticulitis. Thirty patients underwent colectomy, whereas the others underwent appendectomy with diverticulectomy (n = 8) or appendectomy alone (n = 36). All short\u2010term parameters were less favourable for the colectomy group, including higher complication rate, slower return of gastrointestinal function, higher requirement of parenteral analgesic and longer hospital stay. Without colectomy, only 2 patients developed recurrent diverticulitis necessitating hospitalisation, both of whom resolved on conservative treatment. On the other hand, 1 patient required re\u2010operation after colectomy because of intestinal obstruction. The overall re\u2010hospitalisation rate was comparable between the colectomy and the non\u2010colectomy group (16.7% vs. 13.6%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Emergency colectomy can eradicate suspicious lesions and eliminate risk of recurrent diverticulitis but at the expense of higher morbidity rates. As the natural course of uncomplicated right\u2010sided colonic diverticulitis is usually benign, conservative treatment with minimal surgery may be a better therapeutic option.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-006-0236-9","type":"journal-article","created":{"date-parts":[[2007,1,11]],"date-time":"2007-01-11T16:03:43Z","timestamp":1168531423000},"page":"383-387","source":"Crossref","is-referenced-by-count":6,"title":["Critical Appraisal on the Role and Outcome of Emergency Colectomy for Uncomplicated Right\u2010sided Colonic Diverticulitis"],"prefix":"10.1002","volume":"31","author":[{"given":"Wing\u2010Wa","family":"Leung","sequence":"first","affiliation":[{"name":"Department of Surgery The Chinese University of Hong Kong, Prince of Wales Hospital Shatin Hong Kong SAR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janet FY","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Surgery The Chinese University of Hong Kong, Prince of Wales Hospital Shatin Hong Kong SAR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shirley YW","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Surgery The Chinese University of Hong Kong, Prince of Wales Hospital Shatin Hong Kong SAR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer WC","family":"Mou","sequence":"additional","affiliation":[{"name":"Department of Surgery The Chinese University of Hong Kong, Prince of Wales Hospital Shatin Hong Kong SAR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon SM","family":"Ng","sequence":"additional","affiliation":[{"name":"Department of Surgery The Chinese University of Hong Kong, Prince of Wales Hospital Shatin Hong Kong SAR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raymond YC","family":"Yiu","sequence":"additional","affiliation":[{"name":"Department of Surgery The Chinese University of Hong Kong, Prince of Wales Hospital Shatin Hong Kong SAR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jimmy CM","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Surgery The Chinese University of Hong Kong, Prince of Wales Hospital Shatin Hong Kong SAR China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,1,5]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002\u20109610(71)90226\u20101"},{"key":"e_1_2_6_3_2","first-page":"1503","article-title":"Diverticula of the right colon. 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