Operative or nonoperative management of Hinchey III purulent acute diverticulitis?

We read with interest the article by Dr. Vennix and colleagues1 published in Lancet that rekindles the debate on management of severe acute diverticulitis (Hinchey III); the lower early morbidity of surgical resection reported by the authors definitely challenges the recent trend toward mini-invasive management by laparoscopic lavage (LL).2,