ArticleTechniques in coloproctology2015
Laparoscopic peritoneal lavage for perforated colonic diverticulitis: a definitive treatment? Retrospective analysis of 63 cases.
Article in Techniques in coloproctology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04311385 (Management and Evolution of Acute Diverticulitis With Pericolic Free Gas - a Multicentre Observational Study), which is not on this map. Cited by 12 papers, 3 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Management and Evolution of Acute Diverticulitis With Pericolic Free Gas - a Multicentre Observational Study
Who cites it
12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 23 citations in OpenAlex.
- Laparoscopic lavage and drainage for Hinchey III diverticulitis: review of technical aspects.Updates in surgery · 2019Pooled it
- Laparoscopic Lavage in the Management of Perforated Diverticulitis: a Contemporary Meta-analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2017Pooled it
- Laparoscopic lavage versus surgical resection for acute diverticulitis with generalised peritonitis: a systematic review and meta-analysis.Techniques in coloproctology · 2017Pooled it
- Evaluation of laparoscopic peritoneal lavage for perforated diverticulitis: a national registry-based study.The British journal of surgery · 2024Observational
- Long-term outcomes and risk factors for diverticulitis recurrence after a successful laparoscopic peritoneal lavage in Hinchey III peritonitis.International journal of colorectal disease · 2023Article
- Management of perforated diverticulitis with generalized peritonitis. A multidisciplinary review and position paper.Techniques in coloproctology · 2021Review
- Laparoscopic peritoneal lavage versus laparoscopic sigmoidectomy in complicated acute diverticulitis: a multicenter prospective observational study.International journal of colorectal disease · 2019Observational
- An outcome analysis of laparoscopic management of diverticulitis.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2018Observational
- Current status of laparoscopic colorectal surgery in the emergency setting.Updates in surgery · 2016Review
- Laparoscopic treatment of complicated colonic diverticular disease: A review.World journal of gastrointestinal surgery · 2016Review
- Laparoscopic peritoneal lavage: our experience and review of the literature.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2016Article
- Is laparoscopic peritoneal lavage for diverticular peritonitis only a "bridge" to elective sigmoidectomy? An alternative hypothesis.Techniques in coloproctology · 2015Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe ideal treatment of perforated diverticulitis and the indications for elective colon resection remain controversial. Considering the significant morbidity and mortality rates related to traditional resection, efforts have been made to reduce the invasiveness of surgery in recent decades. Laparoscopic peritoneal lavage has emerged as an effective alternative option. We retrospectively investigated the effectiveness of laparoscopic peritoneal lavage for perforated diverticulitis and the possibility that it could be a definitive treatment.
methodsWe included patients treated with laparoscopic peritoneal lavage for perforated diverticulitis. The inclusion criteria were all emergency patients with generalized peritonitis due to Hinchey III perforated diverticulitis and some cases of Hinchey II and IV.
resultsSixty-three patients were treated with laparoscopic peritoneal lavage. Six patients (9.5 %) had Hinchey II diverticulitis; 54 patients (85.7 %) had Hinchey III; and three patients (4.8 %) had Hinchey IV. The mean operative time was 87.3 min (±25.4 min), and the overall morbidity rate was 14.3 %. One patient died because of pulmonary embolism, and there were six early reinterventions because of treatment failure. Delayed colon resection was performed in four of the remaining 57 patients (7 %) because of recurrent diverticulitis. In the other 53 patients (93 %), we saw no recurrence of diverticulitis and no intervention was performed after a median follow-up period of 54 months (interquartile range 27-98 months).
conclusionsLaparoscopic peritoneal lavage for perforated diverticulitis can be considered a safe and effective alternative to traditional surgical resection, and using this approach, most elective colon resection might be avoided.
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