Outcomes and Quality of Life After Elective Laparoscopic Resection for Diverticular Disease of the Colon

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Abstract

Background Elective laparoscopic resection is an established treatment for recurrent or symptomatic diverticular disease. This study evaluated clinical outcomes and postoperative quality of life after elective colonic resection. Methods This single-center retrospective study included 36 patients who underwent surgery between August 2023 and August 2025 at the Mater Olbia Hospital. Clinical, intraoperative, and postoperative data were analyzed with a median follow-up of 24 months. Primary endpoints were morbidity and length of stay; secondary endpoints included conversion, anastomotic leak, and quality-of-life scores (EQ-5D, GIQLI, LARS). Results Laparoscopic surgery was performed in 86% of cases with a 13.9% conversion rate. Mean operative time was 95 ± 29 minutes, blood loss 121 ± 81 mL, and hospital stay 7 [6–7] days. No major complications (Clavien–Dindo ≥ II) occurred. Laparoscopy was associated with shorter operative time, lower blood loss, and reduced hospital stay (p < 0.05). Conclusions Elective laparoscopic resection for diverticular disease is safe, effective, and provides favorable postoperative quality of life with low morbidity.

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