Department of Surgery, Loyola University Medical Center, Maywood, IL, USA.
J Gastrointest Surg. 2011 Oct;15(10):1866-71. doi: 10.1007/s11605-011-1631-6. Epub 2011 Jul 23.
Traditionally, epiphrenic diverticula have been managed through a left thoracotomy. With the advancement of minimally invasive techniques, a laparoscopic approach has gained widespread popularity. Unfortunately, the preoperative evaluation of patients with epiphrenic diverticula, and their surgical management, is still not well characterized.
The goal of this article is to illustrate our approach to patients with epiphrenic diverticula in terms of preoperative evaluation and surgical technique. The final discussion will focus on the evidence-based rationale for our preoperative assessment and surgical approach.
传统上,膈上憩室通过左开胸手术进行治疗。随着微创技术的进步,腹腔镜方法已得到广泛普及。不幸的是,膈上憩室患者的术前评估及其手术管理仍未得到充分描述。
本文旨在阐述我们在术前评估和手术技术方面对膈上憩室患者的处理方法。最后的讨论将集中在我们术前评估和手术方法的循证理由上。