Dozois Eric J
Division of Colon and Rectal Surgery, Mayo Clinic, Gonda 9S, 200 First Street SW, Rochester, MN, 55902, USA.
J Gastrointest Surg. 2008 Aug;12(8):1321-3. doi: 10.1007/s11605-008-0488-9. Epub 2008 Feb 16.
Sigmoid diverticulosis remains a common disease in developed Western countries, and surgeons are frequently asked to manage diverticulitis and its complications. When to offer elective surgery to patients with uncomplicated, but recurrent, diverticulitis should be individualized, and practice recommendations by national societies continues to be debated. Complicated diverticulitis remains a surgically treated disease, and new technology such as colonic stents (for obstruction) and computed-tomography-guided percutaneous drainage (for abscess) have become bridging techniques to avoid two-stage operations in selected patients. Minimally invasive surgery for elective sigmoid resection has been shown to be safe and feasible and confers many patient-related short-term over traditional open surgery.
乙状结肠憩室病在西方发达国家仍然是一种常见疾病，外科医生经常被要求处理憩室炎及其并发症。对于患有非复杂性但复发性憩室炎的患者，何时提供择期手术应个体化，并且国家学会的实践建议仍在争论中。复杂性憩室炎仍然是一种需要手术治疗的疾病，结肠支架（用于梗阻）和计算机断层扫描引导下经皮引流（用于脓肿）等新技术已成为桥接技术，以避免在特定患者中进行两阶段手术。择期乙状结肠切除术的微创手术已被证明是安全可行的，并且与传统开放手术相比，在许多与患者相关的短期方面具有优势。
