Auguste L, Borrero E, Wise L
Arch Surg. 1985 Apr;120(4):450-2. doi: 10.1001/archsurg.1985.01390280044010.
Between 1960 and 1983, 116 patients had surgical treatment for acutely perforated colonic diverticulitis. Sixty-five patients had immediate or primary resection and 51 had delayed or staged resection. The two groups were comparable as to age, sex, and associated diseases. The mortality rate (12% v 20%), duration of hospital stay (36 days v 52 days), and duration of disability (81 days v 148 days) were all lower for the primary resection than the staged resection group. We believe that, whenever possible, the perforated segment of colonic diverticulitis should be resected primarily.
1960年至1983年间，116例患者因急性穿孔性结肠憩室炎接受了手术治疗。65例患者接受了即时或一期切除，51例接受了延迟或分期切除。两组在年龄、性别和相关疾病方面具有可比性。一期切除组的死亡率（12%对20%）、住院时间（36天对52天）和残疾持续时间（81天对148天）均低于分期切除组。我们认为，只要有可能，结肠憩室炎的穿孔段应一期切除。
