Published online Feb 27, 2016. doi: 10.4240/wjgs.v8.i2.134
Peer-review started: August 25, 2015
First decision: September 30, 2015
Revised: November 17, 2015
Accepted: December 7, 2015
Article in press: December 8, 2015
Published online: February 27, 2016
Core tip: With the aim to improve surgery outcomes, laparoscopy has been increasingly performed in complicated diverticulitis. Despite the absence of solid proofs and under the condition of large expertise, it is an appropriate approach for the surgical management of both elective and emergent situations related to complicated diverticulitis. Moreover, the laparoscopic lavage drainage represents a previously unknown modality of treatment of purulent peritonitis. Validation of these data by large-scale randomized controlled trials is mandatory to build future therapeutic algorithms on which general surgeons can rely in their daily practice.