Lipman Jeremy M, Reynolds Harry L
Department of Colon and Rectal Surgery, Case Medical Center, Case Western Reserve University, Cleveland, Ohio.
Clin Colon Rectal Surg. 2009 Aug;22(3):173-80. doi: 10.1055/s-0029-1236162.
Despite its potential advantages, laparoscopic management of diverticular disease is currently performed by a minority of surgeons on a small group of patients. However, the role for laparoscopy in diverticular disease continues to develop. At present, adequate evidence exists for the routine use of laparoscopy for uncomplicated diverticular disease. Complicated disease, including fistulizing disease and free perforation requires additional expertise and study. As the experience grows among individual surgeons and institutions, it can be expected that the complication and conversion rates will continue to decline allowing even further evolution of laparoscopy for the treatment of this challenging disease process.
尽管具有潜在优势，但目前只有少数外科医生对一小部分患者进行腹腔镜下憩室病治疗。然而，腹腔镜在憩室病治疗中的作用仍在不断发展。目前，有充分证据支持对非复杂性憩室病常规使用腹腔镜治疗。复杂性疾病，包括瘘管形成和游离穿孔，则需要更多专业知识和研究。随着个体外科医生和机构经验的积累，可以预期并发症和中转开腹率将持续下降，从而使腹腔镜在治疗这一具有挑战性的疾病过程中得到进一步发展。
