Bordeianou Liliana, Hodin Richard
Department of Surgery, Massachusetts General Hospital, ACC 460, 15 Parkman Street, Boston, MA 02114, USA.
J Gastrointest Surg. 2007 Apr;11(4):542-8. doi: 10.1007/s11605-007-0126-y.
The timing and appropriateness of surgical treatment of sigmoid diverticular disease remain a topic of controversy. We have reviewed the current literature on this topic, focusing on issues related to the indications and types of surgery. Current evidence would suggest that elective surgery for diverticulitis can be avoided in patients with uncomplicated disease, regardless of the number of recurrent episodes. Furthermore, the need for elective surgery should not be influenced by the age of the patient. Operation should be undertaken in patients with severe attacks, as determined by their clinical and radiological evaluation.
乙状结肠憩室病手术治疗的时机和适宜性仍是一个有争议的话题。我们回顾了关于该主题的当前文献，重点关注与手术指征和手术类型相关的问题。目前的证据表明，无论复发次数多少，患有非复杂性疾病的患者可避免因憩室炎进行择期手术。此外，择期手术的必要性不应受患者年龄的影响。对于经临床和影像学评估确定为严重发作的患者，应进行手术。
