Bielecki K, Kamiński P
Kliniki Chirurgii Ogólnej Centrum Medycznego Kształcenia Podyplomowego w Warszawie.
Wiad Lek. 2001;54(3-4):233-40.
The aim of paper is presentation of our experience in surgical treatment of diverticular disease. In the period of 11 years we operated on 22 patients aged from 38 to 85 years because of complicated diverticulitis. We admitted to hospital 11 patients as emergency cases; operation was performed urgently in 9 of them due to symptoms and signs of acute peritonitis. The other patients were admitted to hospital because of stenosing inflammatory pericolic mass, pericolic abscess or at least two episodes of acute diverticulitis in the past. Resection of affected part of colon was performed in all patients. Primary anastomosis was performed in 13 patients, Hartmann's operation was performed in 8 patients and suture of caecum in site of resected diverticulum was performed in one patient. There was no mortality. Perioperative complications occurred in 31.8% of patients; anastomotic leak occurred in 1 (7.7%) of 13 patients with primary bowel anastomosis. Results were discussed on the base of recent literature.
本文旨在介绍我们在憩室病外科治疗方面的经验。在11年期间，我们对22例年龄在38至85岁之间因复杂性憩室炎而接受手术的患者进行了手术。我们收治了11例急诊患者；其中9例因急性腹膜炎的症状和体征而紧急进行了手术。其他患者因狭窄性炎性结肠周围肿块、结肠周围脓肿或过去至少两次急性憩室炎发作而入院。所有患者均进行了病变结肠部分的切除。13例患者进行了一期吻合，8例患者进行了哈特曼手术，1例患者在切除憩室部位进行了盲肠缝合。无死亡病例。31.8%的患者发生了围手术期并发症；13例进行一期肠吻合的患者中有1例（7.7%）发生了吻合口漏。根据近期文献对结果进行了讨论。
