Objectives: To evaluate the surgical feasibility and short-term outcome of laparoscopic management of complicated cases of diverticular disease. Patients and methods:  The study included 12 patients; 9 males and 3 females with mean age of 57±5.8 years. All patients had preoperative colonoscopy and CT imaging to assure diagnosis. All patients had exploratory laparoscopy to either proceed or convert to open laparotomy and in all cases, a sigmoidectomy was performed with primary intracorporeal anastomosis using a circular end-to-end stapling device. Intraoperative data including duration of surgery, estimated blood loss, length of excised specimen, type and number of managed diverticular complications and number of cases converted to open surgery and time till first ambulation, time till first oral intake, length of hospital stay and postoperative morbidity and mortality were recorded. Results: Eight cases had successfullaparoscopic management and 4 patients were converted to open surgery with a conversion  rate of 33.3%. Exploratory  laparoscopy detected  variant pathologies  in the  same  case;  7 patients  had  diverticular  abscess  that  was  drained  with peritoneal  lavage  and primary  colectomy  with anastomosis  was performed.  Two cases  had single colo-vesical fistula that was closed with inverting  burse-string  suture, then colectomy was conducted successfully. Two females had colosalpingeal fistula; left salpingectomy was performed.  Mean  operative  time  was  180.6±32.9  minutes  and  mean  operative  blood  loss was 89±11.6 cc, mean time till 181 mobilization  and till having audible intestinal sounds was 13.2±3.1 and 2.6±0. 7 days, respectively. Mean time till 1st oral intake was 3.2±0.8 days and length of hospital stay was 6.2±1.2 days. One patient required re-admission for signs of acute abdomen, clinical and CT examination revealed a localized left iliac fossa collection indicating anastomotic line leakage and the patient had open peritoneal lavage and diversion colostomy. Conclusion: Laparoscopic management of complicated diverticulitis is feasible and safe approach provided proper surgical decision was adequately taken concerning to proceed or not after laparoscopic exploration