ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2020
Laparoscopic Versus Open Emergent Sigmoid Resection for Perforated Diverticulitis.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Safety and feasibility of robotic surgery in acute care setting: a systematic review.Journal of robotic surgery · 2025Pooled it
- Laparoscopic Versus Open Surgery for Diverticular Disease: A Structured Review Across Clinical Settings and Operative Strategies.Annals of gastroenterological surgery · 2026Review
- Laparoscopic versus open emergency colonic resection for obstruction: a multicentre retrospective cohort study.BMC surgery · 2026Observational
- Acute Jejunal Diverticulitis: A Case Report.Cureus · 2026Article
- Efficacy of a Laparoscopic Approach in Treating Gangrenous Ischemic Colitis: A Case Report.Surgical case reports · 2026Article
- Emergency laparoscopic Hartmann procedure no longer a subspecialist operation: a retrospective cohort study at an Australian non-subspecialized center.Journal of minimally invasive surgery · 2025Article
- Minimally invasive versus open surgery for colonic diverticular disease: a nationwide analysis of German hospital data.Techniques in coloproctology · 2025Article
- Surgery for diverticular peritonitis.Frontiers in medicine · 2025Review
- Usefulness of laparoscopic surgery for colorectal perforation: a single-center retrospective cohort study.Surgery today · 2024Article
- Laparoscopic Hartmann's procedure for complicated diverticulitis is associated with lower superficial surgical site infections compared to open surgery with similar other outcomes: a NSQIP-based, propensity score matched analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Article
- RETRACTED: Comparison of the risk of postoperative wound infection in patients with rectal cancer by laparoscopic versus open Hartmann's surgery.International wound journal · 2024Article
- Cesena guidelines: WSES consensus statement on laparoscopic-first approach to general surgery emergencies and abdominal trauma.World journal of emergency surgery : WJES · 2023Article
- Effects of sarcopenia and myosteatosis are alleviated in reduced port surgery for diverticulitis.International journal of colorectal disease · 2023Article
- Laparoscopic versus open emergent colectomy for ischemic colitis: a propensity score-matched comparison.World journal of emergency surgery : WJES · 2022Article
- Early Recurrence in Resected Gallbladder Carcinoma: Clinical Impact and Its Preoperative Predictive Score.Annals of surgical oncology · 2022Article
- Current Aspects on the Management of Perforated Acute Diverticulitis: A Narrative Review.Cureus · 2022Review
- Laparoscopic Versus Open Colorectal Surgery in the Emergency Setting: A Systematic Review and Meta-analysis.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2021Article
- Robotics for Acute Care in Colorectal Surgery.Clinics in colon and rectal surgery · 2021Review
- Emerging evidence and recent controversies in diverticulitis: a 5-year review.Annals of gastroenterologyReview
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPotential advantages of laparoscopic sigmoidectomy for perforated diverticulitis are still under consideration. This study is designed to determine if emergent laparoscopic sigmoidectomy for perforated diverticulitis is associated with outcomes comparable to the traditional open approach.
methodsThe American College of Surgeons-National-Surgical-Quality-Improvement-Program (ACS-NSQIP) database was queried for laparoscopic and open emergent sigmoidectomy cases for perforated diverticulitis from 2012 through 2017. Using propensity score weights, 30-day outcomes between laparoscopic and open approaches were compared in two ways: one with converted cases as a separate group and another with converted cases combined with the laparoscopic-completed group (intention-to-treat).
resultsA total of 3756 cases met inclusion criteria-282 laparoscopic-completed, 175 laparoscopic-converted-to-open, and 3299 open. The laparoscopic-completed approach had significantly better outcomes than open and laparoscopic-converted cases. When combining laparoscopic-completed and laparoscopic-converted cases (intention-to-treat), the laparoscopic approach still had significantly fewer complications per patient, less unplanned intubation (p = 0.01), and acute renal failure (p = 0.005) than the open group. Laparoscopic groups had longer operating times and shorter hospital length of stay than the open group. Subgroup analysis comparing laparoscopic and open Hartmann's procedure and primary anastomosis with and without diverting stoma also showed favorable outcomes for the laparoscopic group.
conclusionsLaparoscopic emergent sigmoid resection for perforated diverticulitis is associated with favorable outcomes compared to the open approach. Hartmann's procedure is still common and conversion rate is high. Training efforts that increase adoption of minimally invasive surgery and decrease conversion rates are justified. Randomized trials comparing laparoscopic and open approaches may allow further critical assessment of these findings.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.