Letwin E R
Am J Surg. 1982 May;143(5):579-81. doi: 10.1016/0002-9610(82)90167-2.
A series of 46 patients treated surgically for acute sequelae of diverticular disease of the colon was reviewed. Perforation of sigmoid diverticulitis and colon obstruction were the most common indications for surgical treatment. Resection of the involved colon was carried out in 44 of 46 patients. Primary resection was performed in 27 patients and primary anastomosis was achieved in 19 of these. Staged resections were employed in 17 patients. The mortality rate was 4.4 percent and the complication rate 28.3 percent. Some suggestions are made in an effort to decrease morbidity in the future.
回顾了46例因结肠憩室病急性后遗症接受手术治疗的患者。乙状结肠憩室炎穿孔和结肠梗阻是手术治疗最常见的指征。46例患者中有44例行受累结肠切除术。27例患者行一期切除，其中19例实现一期吻合。17例患者采用分期切除。死亡率为4.4%，并发症发生率为28.3%。为降低未来的发病率提出了一些建议。
