{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T15:14:10Z","timestamp":1789917250213,"version":"4.0.1"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T00:00:00Z","timestamp":1742947200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T00:00:00Z","timestamp":1742947200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100006390","name":"University of Lausanne","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100006390","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Acute diverticulitis with perforation and peritonitis is a serious complication affecting up\u00a0to 12% of patients. Peritonitis is classified into purulent (Hinchey III) or fecal (Hinchey IV) categories. The standard treatment has traditionally involved emergency surgery, such as bowel resection with or without anastomosis or Hartmann\u2019s procedure, both of which carry high morbidity and mortality risks.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>In 2008, laparoscopic peritoneal lavage (LPL) emerged as a less invasive alternative for treating purulent peritonitis. This article outlines the LPL technique, emphasizing patient selection, procedural steps, and postoperative care.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Several clinical trials have compared LPL to traditional resection methods. These trials show that while LPL is associated with lower stoma prevalence and shorter recovery times, it also carries a higher risk of reoperation and misdiagnosis, especially in cases of fecal peritonitis. Proper patient selection, such as excluding immunosuppressed patients and those with Hinchey IV peritonitis, and careful intraoperative assessment are crucial for successful outcomes. While LPL is not superior to resection, it is a viable alternative in select cases.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p> LPL offers a minimally invasive option for treating complicated diverticulitis in appropriately selected patients, though careful surgical expertise and patient-centered decision-making are essential to optimizing results.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00464-025-11617-4","type":"journal-article","created":{"date-parts":[[2025,3,29]],"date-time":"2025-03-29T22:32:02Z","timestamp":1743287522000},"page":"3396-3399","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Laparoscopic lavage: an option for surgical management of complicated diverticulitis"],"prefix":"10.1007","volume":"39","author":[{"given":"H\u00e9lo\u00efse","family":"Giron","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabian","family":"Grass","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5595-4114","authenticated-orcid":false,"given":"Dieter","family":"Hahnloser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,3,26]]},"reference":[{"key":"11617_CR1","doi-asserted-by":"crossref","unstructured":"Strate LL, Morris AM. Epidemiology, pathophysiology, and treatment of diverticulitis. Gastroenterology. 2019;156(5):1282\u201398 e1.","DOI":"10.1053\/j.gastro.2018.12.033"},{"issue":"2","key":"11617_CR2","first-page":"326","volume":"96","author":"C Cremonini","year":"2024","unstructured":"Cremonini C, Biloslavo A, Robustelli V, Giannessi S, Rossi Del Monte S, Mastronardi M et al (2024) What are the differences between the three most used classifications for acute colonic diverticulitis? A comparative multicenter study. J Trauma Acute Care Surg 96(2):326\u2013331","journal-title":"J Trauma Acute Care Surg"},{"issue":"1","key":"11617_CR3","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1002\/bjs.6024","volume":"95","author":"E Myers","year":"2008","unstructured":"Myers E, Hurley M, O\u2019Sullivan GC, Kavanagh D, Wilson I, Winter DC (2008) Laparoscopic peritoneal lavage for generalized peritonitis due to perforated diverticulitis. Br J Surg 95(1):97\u2013101","journal-title":"Br J Surg"},{"issue":"11","key":"11617_CR4","doi-asserted-by":"publisher","first-page":"962","DOI":"10.1089\/lap.2024.0328","volume":"34","author":"GR Rodriguez","year":"2024","unstructured":"Rodriguez GR, Reed RN, Brody F, Duncan JE (2024) Less is (sometimes) more: laparoscopic peritoneal lavage and drainage for Diverticulitis. J Laparoendosc Adv Surg Tech A 34(11):962\u2013966","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"10000","key":"11617_CR5","doi-asserted-by":"publisher","first-page":"1269","DOI":"10.1016\/S0140-6736(15)61168-0","volume":"386","author":"S Vennix","year":"2015","unstructured":"Vennix S, Musters GD, Mulder IM, Swank HA, Consten EC, Belgers EH et al (2015) Laparoscopic peritoneal lavage or sigmoidectomy for perforated diverticulitis with purulent peritonitis: a multicentre, parallel-group, randomised, open-label trial. Lancet 386(10000):1269\u20131277","journal-title":"Lancet"},{"issue":"10","key":"11617_CR6","doi-asserted-by":"publisher","first-page":"7764","DOI":"10.1007\/s00464-022-09326-3","volume":"36","author":"VT Hoek","year":"2022","unstructured":"Hoek VT, Edomskis PP, Stark PW, Lambrichts DPV, Draaisma WA, Consten ECJ et al (2022) Laparoscopic peritoneal lavage versus sigmoidectomy for perforated diverticulitis with purulent peritonitis: three-year follow-up of the randomised LOLA trial. Surg Endosc 36(10):7764\u20137774","journal-title":"Surg Endosc"},{"issue":"1","key":"11617_CR7","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1002\/bjs.10329","volume":"104","author":"S Vennix","year":"2017","unstructured":"Vennix S, van Dieren S, Opmeer BC, Lange JF, Bemelman WA (2017) Cost analysis of laparoscopic lavage compared with sigmoid resection for perforated diverticulitis in the Ladies trial. Br J Surg 104(1):62\u201368","journal-title":"Br J Surg"},{"issue":"13","key":"11617_CR8","doi-asserted-by":"publisher","first-page":"1364","DOI":"10.1001\/jama.2015.12076","volume":"314","author":"JK Schultz","year":"2015","unstructured":"Schultz JK, Yaqub S, Wallon C, Blecic L, Forsmo HM, Folkesson J et al (2015) Laparoscopic lavage vs primary resection for acute perforated diverticulitis: the scandiv randomized clinical trial. JAMA 314(13):1364\u20131375","journal-title":"JAMA"},{"key":"11617_CR9","doi-asserted-by":"crossref","unstructured":"Meyer J, Orci LA, Combescure C, Balaphas A, Morel P, Buchs NC, et al. Risk of colorectal cancer in patients with acute diverticulitis: a systematic review and meta-analysis of observational studies. Clin Gastroenterol Hepatol. 2019;17(8):1448\u201356 e17.","DOI":"10.1016\/j.cgh.2018.07.031"},{"issue":"2","key":"11617_CR10","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1001\/jamasurg.2020.5618","volume":"156","author":"N Azhar","year":"2021","unstructured":"Azhar N, Johanssen A, Sundstrom T, Folkesson J, Wallon C, Korner H et al (2021) Laparoscopic lavage vs primary resection for acute perforated diverticulitis: long-term outcomes from the scandinavian diverticulitis (scandiv) randomized clinical trial. 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Dis Colon Rectum 63(6):728\u2013747","journal-title":"Dis Colon Rectum"}],"container-title":["Surgical Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-025-11617-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00464-025-11617-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-025-11617-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T17:31:42Z","timestamp":1745947902000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00464-025-11617-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,26]]},"references-count":15,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["11617"],"URL":"https:\/\/doi.org\/10.1007\/s00464-025-11617-4","relation":{},"ISSN":["0930-2794","1432-2218"],"issn-type":[{"value":"0930-2794","type":"print"},{"value":"1432-2218","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,26]]},"assertion":[{"value":"3 November 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 February 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 March 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors have no conflicts of interest or financial ties to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures\u00a0"}}]}}