乙状结肠憩室穿孔病：一种治疗方案。
Perforated sigmoid diverticular disease: a management protocol.
作者信息
Jaffer Usman, Moin Thajammul
机构信息
Norfolk and Norwich University Hospital, Colney Lane, Norwich, UK.
出版信息
JSLS. 2008 Apr-Jun;12(2):188-93.
Abstract
BACKGROUND
To develop an evidence-based protocol for the management of perforated sigmoid diverticular disease.
METHODS
A search of the literature was undertaken. All publications pertaining to perforated sigmoid diverticular disease were analyzed and then categorized according to their level of evidence. Recommendations were then made on the basis of this.
RESULTS
Multiple case reports suggest that primary closure of perforation of sigmoid diverticula is safe in the absence of peritoneal contamination.
CONCLUSIONS
A 2-stage laparoscopic approach incorporating the principles of damage limitation surgery may be a safe strategy in the management of perforated diverticular disease.
摘要
背景
制定基于证据的乙状结肠憩室穿孔病管理方案。
方法
进行文献检索。分析所有与乙状结肠憩室穿孔病相关的出版物，然后根据其证据水平进行分类。在此基础上提出建议。
结果
多个病例报告表明，在无腹腔污染的情况下，乙状结肠憩室穿孔一期缝合是安全的。
结论
采用损伤控制手术原则的两阶段腹腔镜手术方法可能是乙状结肠憩室穿孔病管理的一种安全策略。
相似文献
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Perforated sigmoid diverticular disease: a management protocol.
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