原发性吻合术与哈特曼手术治疗伴有腹膜炎的穿孔性憩室炎：一项不切实际的试验。 - Suppr

Primary anastomosis versus Hartmann's procedure for perforated diverticulitis with peritonitis: an impracticable trial.

作者信息

Binda Gian Andrea, Serventi Alberto, Puntoni Matteo, Amato Antonio

机构信息

Department of General Surgery, Galliera Hospital, Genoa, Italy Department of General Surgery, San Giacomo Hospital, Novi Ligure (Alessandria), Italy,

出版信息

Ann Surg. 2015 Apr;261(4):e116-7. doi: 10.1097/SLA.0000000000000536.

DOI:10.1097/SLA.0000000000000536

PMID:24441815

Abstract

摘要

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Primary anastomosis versus Hartmann's procedure for perforated diverticulitis with peritonitis: an impracticable trial.原发性吻合术与哈特曼手术治疗伴有腹膜炎的穿孔性憩室炎：一项不切实际的试验。

Ann Surg. 2015 Apr;261(4):e116-7. doi: 10.1097/SLA.0000000000000536.

Hartmann's procedure versus sigmoidectomy with primary anastomosis for perforated diverticulitis with purulent or faecal peritonitis (LADIES): a multicentre, parallel-group, randomised, open-label, superiority trial.Hartmann 手术与一期吻合术治疗伴有脓性或粪便性腹膜炎的穿孔性憩室炎（LADIES）：一项多中心、平行组、随机、开放标签、优效性试验。

Lancet Gastroenterol Hepatol. 2019 Aug;4(8):599-610. doi: 10.1016/S2468-1253(19)30174-8. Epub 2019 Jun 6.

A multicenter randomized clinical trial of primary anastomosis or Hartmann's procedure for perforated left colonic diverticulitis with purulent or fecal peritonitis.左半结肠憩室炎合并脓性或粪性腹膜炎行一期吻合术或 Hartmann 手术的多中心随机临床试验。

Ann Surg. 2012 Nov;256(5):819-26; discussion 826-7. doi: 10.1097/SLA.0b013e31827324ba.

Role of protective stoma after primary anastomosis for generalized peritonitis due to perforated diverticulitis-DIVERTI 2 (a prospective multicenter randomized trial): rationale and design (nct04604730).因穿孔性憩室炎导致弥漫性腹膜炎行一期吻合术后保护性造口的作用—DIVERTI 2 研究（一项前瞻性多中心随机试验）：研究背景和设计（nct04604730）。

BMC Surg. 2022 May 16;22(1):191. doi: 10.1186/s12893-022-01589-w.

What is the preferred surgery for perforated left-sided diverticulitis?左侧穿孔性憩室炎的首选手术是什么？

J Am Coll Surg. 2014 Mar;218(3):495-7. doi: 10.1016/j.jamcollsurg.2013.12.011.

Sigmoid resection with primary anastomosis versus the Hartmann's procedure for perforated diverticulitis with purulent or fecal peritonitis: a systematic review and meta-analysis.乙状结肠切除术一期吻合术与哈特曼手术治疗伴有脓性或粪性腹膜炎的穿孔性憩室炎：一项系统评价和荟萃分析。

Int J Colorectal Dis. 2020 Aug;35(8):1371-1386. doi: 10.1007/s00384-020-03617-8. Epub 2020 Jun 5.

Primary anastomosis with diverting loop ileostomy versus Hartmann's procedure for acute complicated diverticulitis: analysis of the National Inpatient Sample 2015-2019.一期吻合加预防性回肠造口术与 Hartmann 手术治疗急性复杂憩室炎：2015-2019 年全国住院患者样本分析。

Int J Colorectal Dis. 2023 Jun 1;38(1):156. doi: 10.1007/s00384-023-04452-3.

Health economic analysis of laparoscopic lavage versus Hartmann's procedure for diverticulitis in the randomized DILALA trial.在随机DILALA试验中，针对憩室炎患者，腹腔镜灌洗术与哈特曼手术的卫生经济学分析。

Br J Surg. 2016 Oct;103(11):1539-47. doi: 10.1002/bjs.10230. Epub 2016 Aug 22.

Hartmann's procedure versus sigmoidectomy with primary anastomosis for perforated diverticulitis with purulent or fecal peritonitis: Three-year follow-up of a randomised controlled trial.Hartmann 手术与一期吻合术治疗伴有脓性或粪性腹膜炎的穿孔性憩室炎：一项随机对照试验的 3 年随访。

Int J Surg. 2022 Feb;98:106221. doi: 10.1016/j.ijsu.2021.106221. Epub 2022 Jan 10.

Resection and primary anastomosis with proximal diversion instead of Hartmann's: evolving the management of diverticulitis using NSQIP data.切除和近端转流吻合术替代 Hartmann 手术：使用 NSQIP 数据评估憩室炎的治疗方法。

J Trauma Acute Care Surg. 2012 Apr;72(4):807-14; quiz 1124. doi: 10.1097/TA.0b013e31824ef90b.

引用本文的文献

Goodbye Hartmann trial: a prospective, international, multicenter, observational study on the current use of a surgical procedure developed a century ago.告别哈特曼试验：一项前瞻性、国际性、多中心、观察性研究，旨在探讨一个百年前开发的手术程序的当前应用。

World J Emerg Surg. 2024 Apr 16;19(1):14. doi: 10.1186/s13017-024-00543-w.

Damage control strategy in perforated diverticulitis with generalized peritonitis.穿孔性憩室炎合并弥漫性腹膜炎的损伤控制性策略。

BMC Surg. 2021 Mar 16;21(1):135. doi: 10.1186/s12893-021-01130-5.

Management of perforated diverticulitis with generalized peritonitis. A multidisciplinary review and position paper.穿孔性憩室炎伴弥漫性腹膜炎的处理。多学科回顾和立场文件。

Tech Coloproctol. 2021 Feb;25(2):153-165. doi: 10.1007/s10151-020-02346-y. Epub 2020 Nov 5.

Short- and long-term outcomes for primary anastomosis versus Hartmann's procedure in Hinchey III and IV diverticulitis: a multivariate logistic regression analysis of risk factors.Hinchey III 和 IV 型憩室炎行一期吻合术与 Hartmann 手术的短期和长期结局：危险因素的多变量逻辑回归分析。

Langenbecks Arch Surg. 2021 Feb;406(1):121-129. doi: 10.1007/s00423-020-02015-6. Epub 2020 Oct 20.

Prospectively Randomized Controlled Trial on Damage Control Surgery for Perforated Diverticulitis with Generalized Peritonitis.穿孔性憩室炎合并弥漫性腹膜炎损伤控制手术的前瞻性随机对照试验

World J Surg. 2020 Dec;44(12):4098-4105. doi: 10.1007/s00268-020-05762-1. Epub 2020 Sep 8.

Colorectal surgeon consensus with diverticulitis clinical practice guidelines.结直肠外科医生对憩室炎临床实践指南的共识。

World J Gastrointest Surg. 2017 Nov 27;9(11):224-232. doi: 10.4240/wjgs.v9.i11.224.

IPOD Study: Management of Acute Left Colonic Diverticulitis in Italian Surgical Departments.IPOD研究：意大利外科科室急性左半结肠憩室炎的管理

World J Surg. 2017 Mar;41(3):851-859. doi: 10.1007/s00268-016-3800-y.

The Italian approach to diverticular perforation complicated by diffuse peritonitis: report of the Annual UCP-SICCR Meeting 2015.意大利处理并发弥漫性腹膜炎的憩室穿孔的方法：2015年UCP-SICCR年会报告

Tech Coloproctol. 2016 May;20(5):331-332. doi: 10.1007/s10151-016-1428-4. Epub 2016 Mar 2.

Practice parameters for the treatment of colonic diverticular disease: Italian Society of Colon and Rectal Surgery (SICCR) guidelines.结肠憩室病治疗的实践参数：意大利结肠和直肠外科学会（SICCR）指南

Tech Coloproctol. 2015 Oct;19(10):615-26. doi: 10.1007/s10151-015-1370-x. Epub 2015 Sep 16.

Role of damage control surgery in the treatment of Hinchey III and IV sigmoid diverticulitis: a tailored strategy.损伤控制手术在治疗欣奇 III 级和 IV 级乙状结肠憩室炎中的作用：一种定制策略。

Medicine (Baltimore). 2014 Nov;93(25):e184. doi: 10.1097/MD.0000000000000184.

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Primary anastomosis versus Hartmann's procedure for perforated diverticulitis with peritonitis: an impracticable trial.

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