Levien D H, Mazier W P, Surrell J A, Raiman P J
Ferguson Hospital, Grand Rapids, Michigan 49503.
Dis Colon Rectum. 1989 Jan;32(1):30-2. doi: 10.1007/BF02554721.
A retrospective study of 83 patients undergoing surgery for diverticular disease over two years at a colorectal specialty hospital was undertaken to assess the safety of resection. No patient had free perforation. Eighty-nine percent of 46 patients with neither abscess nor fistula underwent resection and primary anastomosis, the remainder undergoing other resectional therapy; there was no mortality in this group. Of the 37 patients with abscesses, fistulas, or both, all had resections with or without primary anastomoses and one of these 37 patients died (2.7 percent mortality). In the entire series of 83 patients, the operative mortality was 1.2 percent, although 69 percent had morbidity. Resection can be performed safely for diverticulitis, and primary anastomosis can be safely added in uncomplicated and selected complicated cases.
在一家结直肠专科医院，对83例在两年内接受憩室病手术的患者进行了一项回顾性研究，以评估切除术的安全性。没有患者发生游离穿孔。46例既没有脓肿也没有瘘管的患者中，89%接受了切除术和一期吻合术，其余患者接受了其他切除治疗；该组无死亡病例。在37例有脓肿、瘘管或两者皆有的患者中，所有患者都接受了有或没有一期吻合的切除术，这37例患者中有1例死亡（死亡率为2.7%）。在整个83例患者系列中，手术死亡率为1.2%，尽管69%的患者有并发症。憩室炎切除术可以安全进行，在无并发症和部分选定的复杂病例中，一期吻合术也可以安全实施。
