Laparoscopic Lavage vs Primary Resection for Acute Perforated Diverticulitis

Schultz, Johannes; Yaqub, Sheraz; Wallon, Conny; Blecic, Ljiljana; Forsmo, Håvard Mjørud; Folkesson, Joakim; Buchwald, Pamela; Kørner, Hartwig; Dahl, Fredrik A.; Øresland, Tom

doi:10.1001/jama.2015.12076

Cited by 250 publications

(190 citation statements)

References 26 publications

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“…In the laparoscopic era, colorectal surgeons may agree to attempt laparoscopic management of colorectal perforation following colonoscopy, diverticulitis, and anastomotic leakage [9][10][11][12]. The SCANDIV trial showed that laparoscopic lavage for perforated diverticulitis is no better than conventional operations; laparoscopic lavage did not reduce morbidity and had worse outcomes, such as high reoperation rate and missing carcinoma [9].…”

Section: Discussion:-mentioning

confidence: 99%

“…The SCANDIV trial showed that laparoscopic lavage for perforated diverticulitis is no better than conventional operations; laparoscopic lavage did not reduce morbidity and had worse outcomes, such as high reoperation rate and missing carcinoma [9]. Another randomized controlled trial, however, reported that laparoscopic lavage may be an appropriate treatment option, though the condition in question was different [10]. Lee et al reported that laparoscopic reintervention for anastomotic leakage was associated with shorter hospitalization and fewer complications [12].…”

Section: Discussion:-mentioning

confidence: 99%

See 1 more Smart Citation

Rectal Perforation After Stapled Hemorrhoidectomy : A Case Report.

Bhagvat¹,

Shetty²,

Aher³

2017

IJAR

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Section: Discussion:-mentioning

confidence: 99%

Section: Discussion:-mentioning

confidence: 99%

Rectal Perforation After Stapled Hemorrhoidectomy : A Case Report.

Bhagvat¹,

Shetty²,

Aher³

2017

IJAR

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“…[29,30] Laparoscopic lavage in the short term was associated with increased morbidity and mortality with higher re-intervention rates when compared to sigmoid resection. Long term results from these studies will be required to determine if any long term advantages to minimally invasive treatments such as stoma avoidance and long term need for surgical intervention are apparent.…”

Section: Discussionmentioning

confidence: 99%

Contemporary Review of Risk‐Stratified Management in Acute Uncomplicated and Complicated Diverticulitis

et al. 2016

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“…Since then, the technique has not gained a wide acceptance and, up to date, three randomized controlled trials (RCTs) comparing LL to sigmoidectomy have been published [47-49]. Interestingly, their conclusions did not agree and the strong debate raised from these conflicting results led 7 meta-analyses to be published over the last 2 years [50-56].…”

Section: Operative Treatmentmentioning

confidence: 99%

The Multidisciplinary Management of Acute Complicated Diverticulitis

et al. 2018

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Background: Acute complicated diverticulitis (ACD) is an important and increasing issue in Western countries that leads to a significant impact and burden for patients, but also for the society due to its effects on hospital costs. In recent years, essential progression has been made regarding the research and implementation of novel or improved treatment strategies for the various disease entities of ACD. Much debated topics in the multidisciplinary approach of patients with ACD, such as the choice for nonoperative treatment options, the role of percutaneous drainage for diverticular abscesses, the role of laparoscopic lavage for perforated diverticulitis with purulent peritonitis, and the role of sigmoidectomy with primary anastomosis for patients with perforated diverticulitis, require clinicians to attentively follow and participate in these discussions. Summary: The aim of this review article is to provide clinicians with a structured overview of the recent literature on the multidisciplinary management of complicated diverticulitis by a panel of experts on the topic. By performing an extensive literature search in the online medical databases MEDLINE (Ovid) and Embase, insights into nonoperative treatment, percutaneous drainage, minimally invasive and open surgical treatment of ACD are provided. Furthermore, a comprehensive algorithm for the treatment of ACD has been developed. Key Messages: Accurate patient evaluation and selection based on patient and disease characteristics is of paramount importance to determine the appropriate treatment strategy for patients with complicated diverticulitis. The presence of an experienced surgeon with advanced skills in laparoscopic emergency colorectal surgery is crucial for the treatment of patients with perforated diverticulitis in order to properly evaluate, select and treat patients suitable for nonoperative or operative treatment with an open or laparoscopic approach.

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Laparoscopic Lavage vs Primary Resection for Acute Perforated Diverticulitis

Abstract: clinicaltrials.gov Identifier: NCT01047462.

Cited by 250 publications

References 26 publications

Rectal Perforation After Stapled Hemorrhoidectomy : A Case Report.

Rectal Perforation After Stapled Hemorrhoidectomy : A Case Report.

Contemporary Review of Risk‐Stratified Management in Acute Uncomplicated and Complicated Diverticulitis

The Multidisciplinary Management of Acute Complicated Diverticulitis

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