SURGICAL OUTCOMES IN THE MANAGEMENT OF COMPLICATED CECAL DIVERTICULITIS AT VIET TIEP FRIENDSHIP HOSPITAL, HAI PHONG (2024–2026)
Main Article Content
Abstract
Objective: To describe the clinical and paraclinical characteristics and surgical outcomes of complicated cecal diverticulitis at Viet Tiep Friendship Hospital from January 2024 to January 2026.
Methods: A retrospective descriptive study was conducted on 32 patients aged 18 years or older who were diagnosed with and surgically treated for complicated cecal diverticulitis.
Results: The mean age was 59.8 ± 16.1 years, with patients aged ≥ 60 years accounting for 56.3%. The male-to-female ratio was 5:3. Clinically, right iliac fossa pain was present in 100% of cases, and abdominal guarding was observed in 96.9%. Hinchey grade III accounted for 65.6% and grade IV for 34.4%. Computed tomography identified perforated diverticulum in 78.1% of cases. Primary resection with anastomosis was performed in 84.4% of patients. The mean postoperative hospital stay was 11.5 ± 5.0 days. The early postoperative complication rate was 9.4% and the mortality rate was 3.1%.
Conclusion: Early postoperative outcomes in this study group were promising; however, preoperative diagnosis remained challenging. Enhanced use of computed tomography in the diagnostic workup and optimization of postoperative care protocols are recommended to reduce complications and shorten hospital stay.
Article Details
Keywords
Cecal diverticulum, surgery, complications.
References
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