Laparoscopic Surgery for Fistulizing Diverticular Disease Shows Low Complication Rates

High-volume colorectal center study finds low rates of severe complications and conversions to open surgery in laparoscopic sigmoidectomy for fistulizing diverticular disease. 10.6% experienced Clavien-Dindo grade ≥ III complications with a 1.9% rate of anastomotic leaks. Most patients were stoma-free at last follow-up with only 0.9% mortality within 30 days. Urgent surgeries had higher severe complication rates. Postoperative cystograms identified bladder leaks but did not significantly impact outcomes. Laparoscopic surgery proves effective and safe in treating complicated fistulizing diverticulitis.