BACKGROUND: Laparoscopic sigmoidectomy for @entity4436 has initially been confined to the elective setting. However, open acute sigmoidectomy for @entity4436 is associated with high morbidity rates that might be reduced after laparoscopic surgery. The aim of this systematic review was to assess the feasibility of emergency laparoscopic sigmoidectomy for @entity4436 . METHODS: We performed a systematic search of PubMed, EMBASE and CENTRAL. All studies reporting on @entity1 with @entity4436 ( @entity3354 ) treated by laparoscopic sigmoidectomy in the acute phase were included, regardless of design. RESULTS: We included 4 case series and one cohort study (total of 104 @entity1 ) out of 1,706 references. @entity12870 ( @entity12870 ) was performed in 84 @entity1 and primary @entity254 in 20. The mean operating time varied between 115 and 200 min. The conversion rate varied from 0 to 19%. The mean length of hospital stay ranged between 6 and 16 days. Surgical re-intervention was necessary in 2 @entity1 . In 20 @entity1 operated upon without defunctioning ileostomy, no @entity834 was reported. Three @entity1 died during the postoperative period. Stoma reversal after @entity12870 was performed in 60 out of 79 evaluable @entity1 (76%). CONCLUSIONS: Acute laparoscopic sigmoidectomy for the treatment of @entity4436 is feasible in selected @entity1 provided they are handled by experienced hands.

Emergency Laparoscopic Sigmoidectomy for XXXX with Generalised Peritonitis: A Systematic Review.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity834 :: ('MESH:D057868', 'Disease') :: ['anastomotic leakage'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity3354 :: ('MESH:C565336', 'Disease') :: ['Hinchey III-IV'] @entity4436 :: ('MESH:D004238', 'Disease') :: ['diverticulitis', 'perforated diverticulitis'] @entity12870 :: ('MESH:D055191', 'Disease') :: ['HP', "Hartmann's procedure"]
@entity4436 :: (MESH:D004238,Disease) :: ['Perforated Diverticulitis']
