Department of Gastroenterological and General Surgery, Helsinki University Central Hospital, Helsinki, Finland.
Scand J Surg. 2010;99(1):14-7. doi: 10.1177/145749691009900104.
The aim of this study was to establish whether smoking is associated with complicated diverticular disease and adverse outcomes of operative treatment of diverticular disease. Smoking has been associated with increased rate of perforations in acute appendicitis as well as failure of colonic anastomosis in patients resected for colonic tumours. It has also been suggested that smoking is a risk factor for complicated diverticular disease of the colon.
Retrospective investigation of records of 261 patients electively operated for diverticular disease in Helsinki University Central Hospital during a period of five years.
The smokers underwent sigmoidectomy at a younger age than the non-smokers (p = 0.001) and they had an increased rate of perforations (p = 0.040) and postoperative recurrent diverticulitis episodes (p = 0.019).
We conclude that smoking increases the likelihood of complications in diverticulosis coli. The development of complicated disease also seems to proceed more rapidly in smokers.Key words: Sigmoid resection; laparoscopy; laparoscopic sigmoidectomy; smoking and diverticular disease; complicated diverticular disease; diverticulitis.
本研究旨在探讨吸烟是否与复杂型憩室病及憩室病手术治疗的不良结局相关。吸烟与急性阑尾炎穿孔率增加以及结肠肿瘤切除患者结肠吻合口失败相关。此外，吸烟被认为是结肠复杂型憩室病的一个危险因素。
对赫尔辛基大学中心医院五年间 261 例行择期憩室病手术患者的记录进行回顾性调查。
吸烟者行乙状结肠切除术的年龄小于不吸烟者（p = 0.001），且其穿孔发生率（p = 0.040）和术后复发性憩室炎发作率（p = 0.019）更高。
我们得出结论，吸烟增加了结肠憩室病发生并发症的可能性。在吸烟者中，复杂疾病的发展似乎也更为迅速。
乙状结肠切除术；腹腔镜；腹腔镜乙状结肠切除术；吸烟与憩室病；复杂型憩室病；憩室炎。
