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Background: This study aimed to compare laparoscopic lavage and sigmoidectomy as treatment for perforated diverticulitis with purulent peritonitis during a month follow-up of the LOLA arm of the randomised LADIES trial. Outcomes were retrospectively collected up to 36 months after randomisation in addition to the prospectively gathered month follow-up.
The primary outcome was the number of patients undergoing a reoperation including stoma reversals. Secondary outcomes included stoma rates, percutaneous interventions, sigmoidectomy rates after initial treatment with lavage, sigmoid carcinomas, overall morbidity, and mortality.
Conclusion: Long-term results showed the number of patients who underwent one or more reoperations were significantly lower in the laparoscopic lavage group compared to the sigmoidectomy group as treatment for perforated diverticulitis with purulent peritonitis.
No differences were found in terms of cumulative morbidity, stoma rates or mortality. Aims: Several studies have compared fat clearing and colouring techniques to the standard manual palpation aiming to increase the lymph nodes examined after gastrectomy for cancer but data on the optimal technique are still lacking.
