Ghione S, Cassine D, Rozzio G, Balzola A
Regione Piemonte, USSl n. 61, Stabilimento Ospedaliero SS. Annunziata, Savigliano, Cuneo.
Minerva Chir. 1990 Dec;45(23-24):1427-31.
Personal experience of 32 cases of colon diverticula observed between 1972 and 1989 is reported. Nine conservative operations and 23 resections of the perforated segment of the colon, followed 20 times by primary anastomosis, were performed. The importance of removing the sector of the colon involved is reiterated. It is concluded that a sectorial type primary resection-anastomosis is advisable in the case of generalised peritonitis, preceding the operation with an abundant peritoneal wash-out. Protective colostomy can be avoided by using an endoluminal active aspiration tube. In a series of 11 primary resection-anastomosis operations carried out in the presence of general peritonitis, anastomotic dehiscence was never observed.
报告了1972年至1989年间观察到的32例结肠憩室的个人经验。进行了9例保守手术和23例结肠穿孔段切除术，其中20次进行了一期吻合。再次强调切除受累结肠段的重要性。得出结论，在弥漫性腹膜炎的情况下，建议进行扇形一期切除吻合术，术前进行大量腹腔冲洗。使用腔内主动吸引管可避免保护性结肠造口术。在一系列11例在弥漫性腹膜炎情况下进行的一期切除吻合术中，从未观察到吻合口裂开。
