Acute complicated diverticulitis

The role of emergency laparoscopic colectomy for complicated sigmoid diverticulits. A systematic review and meta-analysis

Background: Nowadays sigmoidectomy is recommended as “gold standard” treatment for generalized purulent or faecal peritonitis from sigmoid perforated diverticulitis. This systematic review and meta-analysis aimed to assess effectiveness and safety of laparoscopic access versus open sigmoidectomy in acute setting. Methods: A systematic literature search was performed for randomized controlled trials (RCTs) and non-RCTs published in PubMed, SCOPUS and Web of Science.

Differences between computed tomoghaphy and surgical findings in acute complicated diverticulitis

Summary Background/Objective: A preoperative reliable classification system between
clinical and computed tomography (CT) findings to better plan surgery in acute complicated
diverticulitis (ACD) is lacking. We studied the inter-observer agreement of CT scan data and
their concordance with the preoperative clinical findings and the adherence with the intraoperative
status using a new classification of diverticular disease (CDD).
Methods: 152 patients operated on for acute complicated diverticulitis (ACD) were retrospectively