Conti A, Tonini V
Clinica Chirurgica III dell'Università di Bologna.
Ann Ital Chir. 1995 Jan-Feb;66(1):53-60; discussion 60-1.
From 1978 to 1993, 220 patients were admitted at the Cl. Chirurgica III of the University of Bologna because of acute colonic diverticulitis. During the same period 108 patients (58 females and 50 males; mean age 65 years) were operated on for complications of the disease; 21 acute diverticulitis, 10 pericolic or pelvic abscess, 30 purulent peritonitis, 7 fecal peritonitis, 19 obstruction, 14 hemorrhage and 7 fistula. Surgical techniques were: resection and primary anastomosis (n. = 46), two or three stage procedure (n. = 49), Hartmann's resection (n. = 13). Mortality rate was 15%, 14,2% and 7,6% respectively. The advantages or disadvantages of the various surgical approaches in relation to the type of complications were evaluated. In conclusion appropriate segmental resection of the colon with or without primary anastomosis is recommended.
1978年至1993年期间，220例因急性结肠憩室炎入住博洛尼亚大学第三外科诊所。同期，108例患者（58名女性和50名男性；平均年龄65岁）因该病并发症接受手术治疗；其中21例为急性憩室炎，10例为结肠周围或盆腔脓肿，30例为化脓性腹膜炎，7例为粪性腹膜炎，19例为肠梗阻，14例为出血，7例为瘘管。手术方式包括：切除并一期吻合（n = 46）、两期或三期手术（n = 49）、Hartmann切除术（n = 13）。死亡率分别为15%、14.2%和7.6%。评估了各种手术方式相对于并发症类型的优缺点。总之，建议对结肠进行适当的节段性切除，可一期吻合或不一期吻合。
