Laparoscopic lavage is superior to colon resection for perforated purulent diverticulitis-a meta-analysis.

ABSTRACT:

Purpose

Perforated diverticulitis often requires surgery with a colon resection such as Hartmann's procedure, with inherent morbidity. Recent studies suggest that laparoscopic lavage may be an alternative surgical treatment. The aim of this study was to compare re-operations, morbidity, and mortality as well as health economic outcomes between laparoscopic lavage and colon resection for perforated purulent diverticulitis.

Methods

PubMed, Cochrane, Centre for Reviews and Dissemination, and Embase were searched. Published randomized controlled trials and prospective and retrospective cohorts with laparoscopic lavage and colon resection as interventions were identified. Trial limitations were assessed using the Grading of Recommendations Assessment, Development and Evaluation (

SUBMITTER: Angenete E 

PROVIDER: S-EPMC5285409 | biostudies-literature | 2017 Feb

REPOSITORIES: biostudies-literature