Laparoscopic lavage versus primary resection for acute perforated diverticulitis: review and meta-analysis. Ann Surg 2018; 267: 252-258.

Published: 17th May 2018

Authors: Penna M, Markar SR, Mackenzie H, Hompes R, Cunningham C


There were 589 patients studied in three RCTs and four prospective studies. Patients who had laparoscopic lavage had fewer infections and shorter hospital stay, but also more intra-abdominal abscesses and long term urgent reoperations. The stoma rate was 90 per cent after resection versus 14 per cent after lavage.

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