{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T11:21:59Z","timestamp":1742383319698},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2006,6,5]],"date-time":"2006-06-05T00:00:00Z","timestamp":1149465600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2006,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Objectives\u2002<\/jats:bold> Surgical options for acute diverticulitis with peritonitis include Hartmann's procedure or resection and primary anastomosis with or without a stoma. Initial laparoscopic lavage and drainage can control the acute intra\u2010abdominal sepsis to allow for a delayed definitive procedure in nonemergency conditions. Potential advantages include the avoidance of a laparotomy, stoma and local infections at the origin of dehiscence and incisional hernias. We evaluated this approach in a selected group of patients.<\/jats:p><jats:p><jats:bold>Methods\u2002<\/jats:bold> Patients with intra\u2010abdominal pus secondary to diverticular perforation requiring surgery were included in the study. Patients with localized pus amenable to computerized tomography (CT)\u2010guided drainage, faecal peritonitis, severe generalized peritonitis, and those in which the perforation was spontaneously visible were excluded. Standard demographic data, CT findings, intra\u2010operative findings and postoperative outcomes were analysed.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> Ten patients were suitable for the approach. Mean patient age was 60.2\u2003years. Mean body mass index was 28.2\u2003m<jats:sup>2<\/jats:sup>\/kg. Mean postoperative stay was 8.5\u2003days and uneventful in all patients. One patient re\u2010presented after 3\u2003weeks with acute peritonitis requiring open sigmoidectomy. Six patients successfully underwent laparoscopic sigmoidectomy with primary anastomosis 2\u20133\u2003months later. Two patients were not re\u2010operated because of comorbidity and one refused surgery.<\/jats:p><jats:p><jats:bold>Conclusions\u2002<\/jats:bold> A two\u2010stage totally minimally invasive approach may be a safe alternative strategy for selected cases of acute complicated diverticulitis.<\/jats:p>","DOI":"10.1111\/j.1463-1318.2006.01011.x","type":"journal-article","created":{"date-parts":[[2006,6,5]],"date-time":"2006-06-05T14:10:46Z","timestamp":1149516646000},"page":"501-505","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":52,"title":["Two\u2010stage totally minimally invasive approach for acute complicated diverticulitis"],"prefix":"10.1111","volume":"8","author":[{"given":"D.","family":"Mutter","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Bouras","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Forgione","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Vix","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Leroy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Marescaux","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,6,5]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02236921"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.2000.01552.x"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-0715-8"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(97)89625-0"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004649900516"},{"key":"e_1_2_5_7_2","first-page":"95","article-title":"Laparoscopic colorrhaphy, irrigation and drainage in the treatment of complicated acute diverticulitis: initial experience","volume":"56","author":"Da Rold AR","year":"2004","journal-title":"Chir Ital"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.1999.01501.x"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199805213382107"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00019509-200006000-00007"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02051933"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02552645"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02554554"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1985.01390280044010"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02552268"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(97)00272-9"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800840428"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800790844"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-195313830-00005"},{"key":"e_1_2_5_20_2","first-page":"821","article-title":"Primary anastomosis in the treatment of acute disease of the unprepared left colon","volume":"64","author":"Trillo C","year":"1998","journal-title":"Am Surg"},{"key":"e_1_2_5_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(68)90037-8"},{"key":"e_1_2_5_22_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1996.01430180038006"},{"key":"e_1_2_5_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02560431"},{"key":"e_1_2_5_24_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800720904"},{"key":"e_1_2_5_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02563682"},{"key":"e_1_2_5_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02140895"},{"key":"e_1_2_5_27_2","first-page":"271","article-title":"Int\u00e9r\u00eat du lavage colique per\u2010op\u00e9ratoire dans la chirurgie colique d'urgence. A propos de 54 patients","volume":"134","author":"Meyer C","year":"1997","journal-title":"J Chir"},{"key":"e_1_2_5_28_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02052439"},{"key":"e_1_2_5_29_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004649901007"},{"key":"e_1_2_5_30_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1998.00531.x"},{"key":"e_1_2_5_31_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-003-8809-2"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1463-1318.2006.01011.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1463-1318.2006.01011.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,9]],"date-time":"2023-10-09T20:51:13Z","timestamp":1696884673000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1463-1318.2006.01011.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,6,5]]},"references-count":30,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2006,7]]}},"alternative-id":["10.1111\/j.1463-1318.2006.01011.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1463-1318.2006.01011.x","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,6,5]]},"assertion":[{"value":"2006-06-05","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}