Dinstl K, Kriwanek S, Armbruster C, Tuchmann A
I. Chirurgischen Abteilung, KA Rudolfstiftung Wien.
Zentralbl Chir. 1989;114(13):836-9.
A retrospective review of 102 patients (1979-1987) was performed to evaluate the surgical management of complicated diverticulitis. The following operative strategy was found to be effective: 1. the Hartmann procedure in free perforation and diffuse peritonitis; 2. resection with primary anastomosis in free perforation and localized peritonitis, covered perforation, inflammatory tumor and fistulas, if healthy bowel ends could be used for anastomosis.
对102例患者(1979年至1987年)进行了回顾性研究,以评估复杂性憩室炎的手术治疗。发现以下手术策略是有效的:1. 对于游离穿孔和弥漫性腹膜炎采用Hartmann手术;2. 对于游离穿孔和局限性腹膜炎、包裹性穿孔、炎性肿瘤及瘘管,如果健康的肠端可用于吻合,则行切除并一期吻合术。