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[结肠憩室病:具有手术意义的并发症]

[Diverticulosis of the colon: complications of surgical interest].

作者信息

Celi Diego, Biasiato Renzo, D'Amico Carmelo, Danek Ruggero, Casolino Vincenzo, Battaglino Domenico, Ferraro Stefania, Errante Donatello, Cadrobbi Roberto

机构信息

Struttura Complessa di Chirurgia Generale, Azienda Sanitaria U.L.S.S. 3, Regione Veneto.

出版信息

Chir Ital. 2002 May-Jun;54(3):385-8.

Abstract

Diverticular disease is prevalently only of medical interest. Repeated episodes of diverticulitis, particularly in younger patients, and serious complications such as perforation, stenosis, fistula and haemorrhage demand surgical treatment. The timing and type of surgical operation are conditioned by the pathological picture and by the patient's general condition and age. The authors present a series of 586 patients admitted for diverticular disease, 84 of whom presented complicated diverticulosis. Nineteen cases (22.6%) underwent elective surgery in the form of an anterior rectal resection, while 65 of them underwent urgent surgery for complicated diverticulosis variously consisting in total colectomy, a Hartman's resection, a simple rectal resection or a left or right hemicolectomy.

摘要

憩室病通常仅具有医学研究价值。憩室炎反复发作,尤其是在年轻患者中,以及诸如穿孔、狭窄、瘘管和出血等严重并发症需要手术治疗。手术操作的时机和类型取决于病理情况以及患者的一般状况和年龄。作者报告了一系列586例因憩室病入院的患者,其中84例患有复杂性憩室病。19例(22.6%)接受了选择性手术,术式为直肠前切除术,而其中65例因复杂性憩室病接受了急诊手术,术式包括全结肠切除术、哈特曼切除术、单纯直肠切除术或左半结肠或右半结肠切除术。

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