Laparoscopic Peritoneal Lavage vs Laparoscopic Sigmoidectomy in Perforated Acute Diverticulitis: a Multicenter Prospective Observational Study (STELLA Study)
Laparoscopic Peritoneal Lavage vs Laparoscopic Sigmoidectomy in Perforated Acute Diverticulitis: a Multicenter Prospective Observational Study (STELLA Study)
Laparoscopic peritoneal lavage (LPL) has recently been emerging as an effective alternative
 to laparoscopic sigmoidectomy (LS) in patients with complicated acute diverticulitis (CAD)
 (Modified Hinchey's classification grade II non-responder to conservative therapy and grade
 III). Aim of the study is to evaluate which surgical strategy, between LPL and LS, could give
 better results in patients with CAD
In the literature, there is no consensus about the role of the laparoscopic peritoneal lavage
 in the management of complicated acute diverticulitis. Recently, three important prospective
 randomized-control studies (SCANDIV, LOLA, DILALA) have reported contradicting conclusions,
 as two of them (SCANDIV and LOLA) state that LPL is not superior to sigmoidectomy for the
 high reoperation rate and morbidity, while DILALA confirms that LPL is feasible and safe in
 the short-term. To our knowledge, no international guidelines promote the use of LPL in
 complicated acute diverticulitis. We believe this technique could be safely used in a
 selected cohort of patients and, in some circumstances, could represent a "bridge" to a
 possible planned resection. The aim of the study is to collect and analyze the multicentric
 data of the LPL and LS and give a substantial contribution to the scientific community about
 this very debated topic.
Inclusion Criteria:

 -  Acute abdominal pain,

 -  Signs of localized or diffuse peritonitis

 -  Signs of suspected perforated diverticulitis (diagnostic imaging)

 -  Signed informed consent

 Exclusion Criteria:

 -  Septic shock

 -  Immunodepression

 -  Previous multiple abdominal surgical operations

 -  Modified Hinchey's grade IV