Impact of the first wave of COVID-19 epidemy on the surgical management of sigmoid diverticular disease in France: National French retrospective study

Camille Gil; Laura Beyer-Bergeot; Charles Sabbagh; Philippe Zerbib; Valérie Bridoux; Gilles Manceau; Yves Panis; Etienne Buscail; Aurélien Venara; Iman Khaoudy; Martin Gaillard; Manon Viennet; Alexandre Thobie; Benjamin Menahem; Clarisse Eveno; Catherine Bonnel; Jean-Yves Mabrut; Bodgan Badic; Camille Godet; Yassine Eid; Emilie Duchalais; Zaher Lakkis; Eddy Cotte; Anais Laforest; Véronique Defourneaux; Léon Maggiori; Lionel Rebibo; Niki Christou; Ali Talal; Diane Mege; Cécile Bonnamy; Adeline Germain; François Mauvais; Christophe Tresallet; Jean Roudie; Alexis Laurent; Bertrand Trilling; Martin Bertrand; Damien Massalou; Benoit Romain; Hadrien Tranchart; Urs Giger; Arnaud Alves; Mehdi Ouaissi; French Surgical Association

doi:10.1007/s00384-023-04564-w

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Impact of the first wave of COVID-19 epidemy on the surgical management of sigmoid diverticular disease in France: National French retrospective study

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Impact of the first wave of COVID-19 epidemy on the surgical management of sigmoid diverticular disease in France: National French retrospective study

Camille Gil, Laura Beyer-Bergeot, Charles Sabbagh, Philippe Zerbib, Valérie Bridoux, Gilles Manceau, Yves Panis, Etienne Buscail, Aurélien Venara, Iman Khaoudy, …

International journal of colorectal disease, Vol.38(1), p.276

02/12/2023

DOI: https://doi.org/10.1007/s00384-023-04564-w

PMID: 38040936

Résumé

Anastomosis, Surgical - methods

Colon, Sigmoid - surgery

Colostomy - methods

COVID-19

Diverticulitis, Colonic - complications

Diverticulitis, Colonic - surgery

Diverticulum - complications

Humans

Postoperative Complications

Rectum - surgery

Retrospective Studies

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. 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). 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. 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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Titre: Impact of the first wave of COVID-19 epidemy on the surgical management of sigmoid diverticular disease in France: National French retrospective study
Créateurs - sans rôle: Camille Gil - Department of Digestive, Oncological, Endocrine, Hepatobiliary and Liver Transplant, Trousseau Hospital, University Hospital of Tours, Avenue de la République, F37044 Tours, France
Laura Beyer-Bergeot - Department of Digestive Surgery Assistance Publique Hôpitaux de Marseille, North University Hospital, Marseille, France
Charles Sabbagh - Department of Surgery Department, Amiens University Hospital, Amiens, France
Philippe Zerbib - Université Lille Nord de France
Valérie Bridoux - Department of Digestive Surgery, University Hospital of Rouen, Rouen, France
Gilles Manceau - Department of digestive Surgery, Assistance Publique Hôpitaux de Paris, Georges Pompidou University Hospital, univeristy Paris Cité, Paris, France
Yves Panis - Colorectal Surgery Center, Groupe Hospitalier Privé Ambroise Paré-Hartmann, Neuilly/Seine, France
Etienne Buscail - Department of Surgery, CHU Toulouse-Rangueil and Toulouse University, Toulouse, France
Aurélien Venara - Department of Digestive Surgery, University Hospital of Angers, Angers, France
Iman Khaoudy - Department of Digestive Surgery, Le Havre Hospital, Le Havre, France
Martin Gaillard - Department of Digestive Surgery, Cochin Hospital, Paris, France
Manon Viennet - Department of General Surgery, University Hospital of Bocage, Dijon, France
Alexandre Thobie - Department of Digestive Surgery, Avranches-Granville Hospital, Avranches, France
Benjamin Menahem - Unité INSERM UMR 1086 ANTICIPE Registre spécialisé des Tumeurs Digestives du calvados-Service de chirurgie digestive, Université de Caen Normandie 14000, Caen, France
Clarisse Eveno - Department of Digestive Surgery, University Hospital of Lille, Lille, France
Catherine Bonnel - Department of Digestive Surgery, Nord-Essonne Hospital, Longjumeau, France
Jean-Yves Mabrut - Department of Digestive Surgery and Transplantation, Croix Rousse University Hospital, Lyon, France
Bodgan Badic - Department of General and Digestive Surgery, University Hospital, Brest, France
Camille Godet - Department of Digestive Surgery, Memorial Hospital of Saint-Lô, Saint-Lô, France
Yassine Eid - Department of Digestive Surgery, Polyclinique de Lisieux, Lisieux, France
Emilie Duchalais - Department of Oncological, Digestive and Endocrine Surgery, University Hospital of Nantes, Nantes, France
Zaher Lakkis - Department of Digestive Surgical Oncology and Liver Transplantation, University Hospital of Besançon, Besançon, France
Eddy Cotte - Hôpital Lyon Sud
Anais Laforest - Department of Digestive Surgery, Montsouris Institut, Paris, France
Véronique Defourneaux - Department of Digestive Surgery, CHU Rennes, Rennes, France
Léon Maggiori - Hôpital Saint-Louis
Lionel Rebibo - Department of Digestive, Oesogastric and Bariatric Surgery, Hôpital Bichat-Claude-Bernard, Paris, France
Niki Christou - Department of Digestive Surgery, Limoges Hospital, Limoges, France
Ali Talal - Department of Digestive Surgery, Argentan Hospital, Argentan, France
Diane Mege - Department of Digestive Surgery, Aix Marseille Univ, APHM, Timone University Hospital, Marseille, France
Cécile Bonnamy - Department of Digestive Surgery, Bayeux Hospital, Bayeux, France
Adeline Germain - Department of Digestive Surgery, CHRU Nancy, Nancy, France
François Mauvais - Department of Digestive Surgery, Beauvais Hospital, Beauvais, France
Christophe Tresallet - Department of Digestive Surgical Oncology, Avicenne University Hospital, Sorbonne Paris Nord University, Paris, France
Jean Roudie - Department of Digestive Surgery, Martinique Hospital, Fort-de-France, France
Alexis Laurent - Department of Digestive Surgery, Créteil Hospital, Créteil, France
Bertrand Trilling - Department of Digestive and Emergency Surgery, Grenoble Alpes University Hospital, Grenoble, France
Martin Bertrand - Department of Digestive Surgery, Universitary Hospital of Nîmes, Nîmes, France
Damien Massalou - Department of Digestive Surgery, Hôpital L'Archet, Nice University, Nice, France
Benoit Romain - Department of General and Digestive Surgery, Hautepierre Hospital, Strasbourg University Hospital, Strasbourg, France
Hadrien Tranchart - Department of Minimally Invasive Digestive Surgery, Antoine Beclere Hospital, AP-HP, Clamart, France
Urs Giger - Fliedner Fachhochschule, University of Applied Sciences, Düsseldorf, Germany
Arnaud Alves - Unité INSERM UMR 1086 ANTICIPE Registre spécialisé des Tumeurs Digestives du calvados-Service de chirurgie digestive, Université de Caen Normandie 14000, Caen, France
Mehdi Ouaissi - Department of Digestive, Oncological, Endocrine, Hepatobiliary and Liver Transplant, Trousseau Hospital, University Hospital of Tours, Avenue de la République, F37044 Tours, France. m.ouaissi@chu-tours.fr
French Surgical Association
Détails de publication: International journal of colorectal disease, Vol.38(1), p.276
Identifiants: 99153896309311
Unité académique: Initial MAnagement & prevent of acute orGan failures IN critically ill patiEnts - IMAGINE
Langue: English
Type de ressource: Journal article