Langenbeck's Archives of Surgery

, Volume 403, Issue 1, pp 11–22 | Cite as

Laparoscopic approaches to complicated diverticulitis




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


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.


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.


Colon diverticula Colonic diverticulitis Laparoscopic surgery Intestinal perforation Intestinal fistula 


Compliance with ethical standards

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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

Conflict of interest

The authors declare that they have no conflicts of conflict.


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© Springer-Verlag GmbH Germany 2017

Authors and Affiliations

  1. 1.Division of Colon and Rectal SurgeryState University of New YorkStony BrookUSA

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