Laparoscopic Peritoneal Lavage: A Definitive Treatment for Diverticular Peritonitis or a “Bridge” to Elective Laparoscopic Sigmoidectomy?
نویسندگان
چکیده
review and meta-anal ving 1041 patients wit resulted in a lower m Editor: Matthew Weiss. Received: July 24, 2014; revised: November 1, 2014; accepted: November 4, 2014. From the Department of Digestive Surgery (RC, ST, OA, JD, AP), St. Maria Hospital, University of Perugia, Terni; Laparoscopic Surgical Unit (NV), M. Mellini Hospital, Chiari, Italy; University of Notre Dame (DM), Fremantle, Australia; Forlı̀ Hospital (DC), Surgical Oncology, Forlı̀; Department of General and Oncologic Surgery (CR, MFB), University of Perugia, Perugia; Department of Surgical Sciences (AA), University of Torino, Torino, Italy; First Department of Surgery (AF), Hippokration Hospital, University of Athens, Athens, Greece; and Section for Surgical Research (AF), Department of Surgery, Medical University of Graz, Graz, Austria. Correspondence: Diego Milani, University of Notre Dame, Fremantle, WA, Australia (e-mail: [email protected]). The authors have no funding and conflicts of interest to disclose. Copyright # 2015 Wolters Kluwer Health, Inc. All rights reserved. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0, where it is permissible to download, share and reproduce the work in any medium, provided it is properly cited. The work cannot be changed in any way or used commercially. ISSN: 0025-7974 DOI: 10.1097/MD.0000000000000334
منابع مشابه
Laparoscopic peritoneal lavage: a definitive treatment for diverticular peritonitis or a "bridge" to elective laparoscopic sigmoidectomy?: a systematic review.
To this day, the treatment of generalized peritonitis secondary to diverticular perforation is still controversial. Recently, in patients with acute sigmoid diverticulitis, laparoscopic lavage and drainage has gained a wide interest as an alternative to resection. Based on this backdrop, we decided to perform a systematic review of the literature to evaluate the safety, feasibility, and efficac...
متن کاملLaparoscopic peritoneal lavage or sigmoidectomy for perforated diverticulitis with purulent peritonitis: a multicentre, parallel-group, randomised, open-label trial.
BACKGROUND Case series suggest that laparoscopic peritoneal lavage might be a promising alternative to sigmoidectomy in patients with perforated diverticulitis. We aimed to assess the superiority of laparoscopic lavage compared with sigmoidectomy in patients with purulent perforated diverticulitis, with respect to overall long-term morbidity and mortality. METHODS We did a multicentre, parall...
متن کاملLaparoscopic lavage versus resection in perforated diverticulitis with purulent peritonitis: a meta-analysis of randomized controlled trials
OBJECTIVE Purulent peritonitis from acute left colon diverticulitis is a relatively common presentation of diverticular disease; historically the treatment was the Hartmann procedure. Laparoscopic peritoneal lavage has been proposed as a lesser invasive treatment option with great interest and debate among surgeons and with contrasting results. The aim of this meta-analysis was to compare the r...
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1 Wong WD, Wexner SD, Lowry AC, et al. Practice parameters for the treatment of diverticulitis—supporting documentation. The Standards Task Force. The American Society of Colon and Rectal Surgeons. Dis Colon Rectum 2000; 43: 290–97. 2 Vermeulen J, Coene PP, Van Hout NM, et al. Restoration of bowel continuity after surgery for acute perforated diverticulitis: should Hartmann’s procedure be consi...
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عنوان ژورنال:
دوره 94 شماره
صفحات -
تاریخ انتشار 2015