Fine A P
Department of Surgery, Jefferson Hospital, Clairton, Pennsylvania 15025, USA.
JSLS. 2001 Jul-Sep;5(3):233-5.
From March 1995 through March 2000, we treated patients with the laparoscopic approach who had emergent and urgent indications for surgery. We report a series of 17 procedures in 16 patients in the acute category excluding those with active bleeding. One case of morbidity (DVT) but no moralities occurred, with 3 of 17 patients converted to an open approach. The postoperative course and subsequent recoveries compare favorably with the open approach to this disease process. Three other series are discussed for comparison, all showing similar favorable results. We concluded that given sufficient experience in minimally invasive colon surgery, surgeons can manage acute inflammatory complications of sigmoid diverticulitis laparoscopically with potential benefit to the patient.
从1995年3月至2000年3月，我们采用腹腔镜手术方法治疗了有急诊和紧急手术指征的患者。我们报告了16例急性病例中的17例手术，不包括有活动性出血的患者。发生了1例并发症（深静脉血栓形成），但无死亡病例，17例患者中有3例转为开放手术。与针对该疾病过程的开放手术方法相比，术后病程和随后的恢复情况良好。还讨论了其他三个系列以供比较，所有结果均显示出类似的良好效果。我们得出结论，鉴于在微创结肠手术方面有足够的经验，外科医生可以通过腹腔镜处理乙状结肠憩室炎的急性炎症并发症，这可能对患者有益。
