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                <term xml:lang="en">Long-term</term>
                <term xml:lang="en">Medium-term</term>
                <term xml:lang="en">Complications</term>
                <term xml:lang="en">Surgery</term>
                <term xml:lang="en">Sigmoidal diverticulitis</term>
                <term xml:lang="fr">Diverticulite sigmoïdienne</term>
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              <p>Although the morbidity and mortality after colectomy for sigmoid diverticulitis has been estimated in France, few data are available on medium- and long-term outcomes. This multicentre observational and analytical study aimed to determine the prevalence of surgical complications beyond the 90th post-operative day. From the EDI-VERTICULITE database, 1441 patients operated on between January 2010 and July 2021 were included. The objectives were to describe the prevalence of surgical complications (post-operative ventration; bowel obstruction; non-closure of stoma and recurrence of diverticulitis) and their respective independent risk factors. A mixed logistic regression model with a random effect was used to account for a possible centre effect. With a mean follow-up of 2106 ± 1239 days, 39.3% of all patients and 27% of elective patients presented with at least one late complication. Eventration and non-closure of the stoma were the two most frequent complications. The main independent risk factors were the patient's condition (advanced age, overweight, obesity, ASA score ≥ 3) and operative characteristics (conversion to laparotomy and 2-stage surgery) in the whole cohort of patients, and two-stage surgery and the occurrence of severe postoperative complications in the subgroup of patients operated on electively. Late complications may occur in 27 to 40% of patients after diverticular surgery, mainly in the first year. Although these results need to be confirmed in a prospective study, it would seem important to inform patients of this when discussing the indication for prophylactic colectomy.</p>
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              <p>Si la morbi-mortalité après colectomie pour diverticulite sigmoïdienne a été estimée en France, peu de données sont disponibles concernant les résultats à moyen et à long-terme. Le but de cette étude multicentrique observationnelle et analytique était de déterminer la prévalence des complications chirurgicales au-delà du 90e jour postopératoire. Issus de la base de données EDI-VERTICULITE, 1441 patients opérés entre janvier 2010 et juillet 2021, ont été inclus. Les objectifs étaient de décrire la prévalence des complications chirurgicales (éventration postopératoire ; occlusion intestinale ; non-fermeture de stomie et récidive de la diverticulite), ainsi que leurs facteurs de risque indépendants respectifs. Un modèle de régressionlogistiquemixteavec un effet aléatoire a été utilisé, permettant de prendre en compte un éventuel effet centre. Avec un suivi moyen de suivi de 2106 ± 1239 jours, 39,3 % de l’ensemble des patients et 27 % des patients opérés en situation élective ont présenté au moins une complication tardive. L’éventration et la non-fermeture de stomie représentaient les deux complications les plus fréquentes. Les principaux facteurs de risque indépendants étaient le terrain (âge avancé, surpoids, obésité, score ASA ≥ 3) et les caractéristiques opératoires (conversion en laparotomie et chirurgie en 2 temps) dans l’ensemble de la cohorte de patients, et la chirurgie en deux temps et la survenue de complications postopératoires sévères dans le sous-groupe de patients opérés en situation élective. Après une chirurgie diverticulaire, des complications tardives peuvent apparaître chez 27 à 40 % des patients, majoritairement dans la première année. Si ces résultats méritent toutefois d’être confirmés dans une étude prospective, il apparaît important d’en informer les patients au moment de discuter d’une indication de colectomie prophylactique.</p>
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