Supervisors info:
Λέκτορας Χειρουργικής Αλέξανδρος Παπαλάμπρος, Καθηγητής Χειρουργικής Χρήστος Π. Τσιγκρής, Καθηγητής Χειρουργικής Θεόδωρος Διαμαντής
Summary:
Background/Aim: Diverticular disease is a first class healthcare problem and
one of the most common gastrointestinal disorders in western industrialized
countries, causing significant morbidity and mortality. In this review of the
literature, we aim to assess the feasibility and effectiveness of the
laparoscopic approach in both elective and emergency setting of diverticular
disease.
Materials and methods: A bibliographic search of articles was performed using
the electronic database MEDLINE from PubMed. Of 341 articles identified, 279
were excluded, resulting in 62 full text articles for review. Our final review
included 16 articles.
Results: The sixteen articles included in the final review consisted of six
retrospective studies, five prospective studies, two randomized controlled
trials, one systematic review and metaanalysis, and two systematic reviews.
Seven articles considered elective laparoscopic sigmoid resection, seven
articles evaluated laparoscopic peritoneal lavage and two articles considered
emergency laparoscopic sigmoid resection for perforated diverticulitis. The
elective laparoscopic approach is feasible and safe. Laparoscopic peritoneal
lavage has emerged as a safe and effective minimally invasive procedure for the
treatment of perforated diverticulitis. Furthermore, in selected patients,
emergency laparoscopic sigmoidectomy could also be feasible for perforated
diverticulitis with generalized peritonitis.
Conclusions: Laparoscopic approach can be a safe and effective option in both
elective and emergency setting of diverticular disease. Large, prospective,
randomized studies should be conducted to confirm these findings.
Keywords:
Diverticulitis, Sigmoid, Laparoscopic, Lavage, Elective
