腹腔镜治疗复杂性憩室炎的方法。
Laparoscopic approaches to complicated diverticulitis.
作者信息
Gachabayov M, Essani R, Bergamaschi R
机构信息
Division of Colon and Rectal Surgery, State University of New York, Stony Brook, NY, USA.
出版信息
Langenbecks Arch Surg. 2018 Feb;403(1):11-22. doi: 10.1007/s00423-017-1621-6. Epub 2017 Sep 5.
BACKGROUND
The objective of this article is to review the evolving role of laparoscopic surgery in the treatment of complicated diverticulitis.
PURPOSE
The authors attempted to give readers a concise insight into the evidence available in the English language literature. This study does not offer a systematic review of the topic, rather it highlights the role of laparoscopy in the treatment of complicated diverticulitis.
CONCLUSIONS
New level 1 evidence suggest that observation rather than elective resection following nonoperative management of diverticulitis with abscess and/or extraluminal air is not below the standard of care. Implementation of nonoperative management may result in increased prevalence of sigmoid strictures.
背景
本文的目的是回顾腹腔镜手术在复杂性憩室炎治疗中不断演变的作用。
目的
作者试图让读者简要了解英文文献中的现有证据。本研究并非对该主题进行系统综述，而是强调腹腔镜在复杂性憩室炎治疗中的作用。
结论
新的一级证据表明，对于伴有脓肿和/或腔外气体的憩室炎，非手术治疗后进行观察而非择期切除并不低于护理标准。实施非手术治疗可能会导致乙状结肠狭窄的患病率增加。
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