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Laparoscopic approaches to complicated diverticulitis

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Abstract

Background

The objective of this article is to review the evolving role of laparoscopic surgery in the treatment of complicated diverticulitis.

Purpose

The authors attempted to give readers a concise insight into the evidence available in the English language literature. This study does not offer a systematic review of the topic, rather it highlights the role of laparoscopy in the treatment of complicated diverticulitis.

Conclusions

New level 1 evidence suggest that observation rather than elective resection following nonoperative management of diverticulitis with abscess and/or extraluminal air is not below the standard of care. Implementation of nonoperative management may result in increased prevalence of sigmoid strictures.

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  1. Division of Colon and Rectal Surgery, State University of New York, Stony Brook, NY, USA

    M. Gachabayov, R. Essani & R. Bergamaschi

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  1. M. Gachabayov
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RB has received research grant #38936 from Merck & Co., Inc. which applies to cited RCT that is in review.

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Gachabayov, M., Essani, R. & Bergamaschi, R. Laparoscopic approaches to complicated diverticulitis. Langenbecks Arch Surg 403, 11–22 (2018). https://doi.org/10.1007/s00423-017-1621-6

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