The Current Surgical Management of Complicated Diverticulitis: An Update on Right-sided and Left-sided Diverticulitis
Kumar H.R. *
Taylor's University School of Medicine and Health Science, 47500 Selangor, Malaysia.
*Author to whom correspondence should be addressed.
Abstract
Acute diverticulitis is a condition that can be divided into left-sided diverticulitis and right-sided diverticulitis. Left-sided diverticulitis is seen in the sigmoid colon and accounts for most cases of diverticulitis in the West. Right-sided diverticulitis is seen in the ascending colon and is predominantly seen in Asia. It can be divided into uncomplicated and complicated diverticulitis. The surgical management of left-sided complicated diverticulitis involves Hartmann’s procedure or sigmoid resection with anastomosis. Laparoscopic lavage is a bridging procedure that is used to stabilize some patients with complicated diverticulitis. Right-sided complicated diverticulitis is treated with right hemicolectomy or ileocecal resection. In this review, we will look at the surgical management of complicated right and left-sided diverticulitis.
Keywords: Colonic diverticulitis, laparoscopic lavage, left-sided colitis, Hartmann’s procedure, right hemicolectomy, right-sided diverticulitis, sigmoid colectomy