Hackford A W, Schoetz D J, Coller J A, Veidenheimer M C
Dis Colon Rectum. 1985 May;28(5):317-21. doi: 10.1007/BF02560431.
One hundred forty patients who had complicated diverticular disease were identified in a retrospective review at the Lahey Clinic between 1967 and 1982. Of these patients, 86 underwent resection with primary anastomosis with a 1 percent mortality rate and an 18 percent morbidity rate; 13 had resection with anastomosis and creation of a proximal colostomy with no death and a 22 percent morbidity rate; 19 had the Hartmann operation or colostomy with mucous fistula with a 16 percent mortality rate and a 23 percent morbidity rate; and 22 underwent a traditional three-stage operation with 14 percent mortality and 24 percent morbidity rates. The average duration of hospitalization was 21 days for patients who underwent the one-stage procedure, 31 and 39 days for those who had a two-stage operation, and 52 days for patients who underwent the three-stage procedure. Primary resection for complicated disease is associated with acceptable morbidity and mortality rates under appropriate circumstances.
1967年至1982年间，在Lahey诊所进行的一项回顾性研究中，确定了140例患有复杂性憩室病的患者。在这些患者中，86例行一期切除吻合术，死亡率为1%，发病率为18%；13例行切除吻合术并近端造口术，无死亡病例，发病率为22%；19例行Hartmann手术或结肠造口术加黏液瘘，死亡率为16%，发病率为23%；22例行传统的三期手术，死亡率为14%，发病率为24%。接受一期手术的患者平均住院时间为21天，接受二期手术的患者为31天和39天，接受三期手术的患者为52天。在适当情况下，对复杂性疾病进行一期切除，其发病率和死亡率是可以接受的。
