穿孔性憩室炎伴弥漫性腹膜炎的治疗：过去、现在和未来。
Treatment of perforated diverticulitis with generalized peritonitis: past, present, and future.
机构信息
Department of Colorectal Surgery, Erasmus Medical Center, Dr Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands.
出版信息
World J Surg. 2010 Mar;34(3):587-93. doi: 10.1007/s00268-009-0372-0.
Abstract
BACKGROUND
The supposed optimal treatment of perforated diverticulitis with generalized peritonitis has changed several times during the last century, but at present is still unclear.
METHODS/RESULTS: The first cases of complicated perforated diverticulitis of the colon were reported in the beginning of the twentieth century. At that time the first therapeutic guidelines were postulated in which an initial nonresectional procedure was provided to be the safest plan of management. After many years in which resection had become standard practice, today, one century later, again (laparoscopic) nonresectional surgery is presented as a safe and promising alternative in treatment of complicated perforated diverticulitis. The question rises what had happened to close the circle?
CONCLUSIONS
This paper includes a historic summary of changing patterns in surgical strategies in perforated diverticulitis complicated by generalized peritonitis.
摘要
背景
在过去的一个世纪里，患有弥漫性腹膜炎的穿孔性憩室炎的最佳治疗方法已经发生了多次变化，但目前仍不清楚。
方法/结果：20 世纪初首次报道了结肠复杂性穿孔性憩室炎的病例。当时提出了第一个治疗指南，其中规定了最初的非切除术是最安全的管理方案。经过多年的切除术成为标准做法，一个世纪后的今天，再次提出（腹腔镜）非切除术作为治疗复杂性穿孔性憩室炎的一种安全且有前途的替代方法。问题是如何缩小差距？
结论
本文包括对弥漫性腹膜炎合并穿孔性憩室炎的手术策略变化模式的历史总结。
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