Messinetti S, Giacomelli L, Manno A, Finizio R, Fabrizio G, Granai A V, Busicchio P, Lauria V
III Surgical Department, University of Rome La Sapienza.
Ann Ital Chir. 1998 Jul-Aug;69(4):479-82; discussion 482-3.
The authors, on the basis of 3 cases of complicated diverticular disease, discuss the indications to surgery, considering the advantages and disadvantages of the various surgical techniques and examining in particular the rules for a correct operation with resection and primary or secondary anastomosis. As they performed a rectosigmoidectomy with primary high colorectal anastomosis, they report the reasons why they adopted the preservation and peeling of the inferior mesenteric artery (IMA).
作者基于3例复杂性憩室病病例,讨论了手术指征,考量了各种手术技术的优缺点,并特别研究了正确的切除手术及一期或二期吻合术的规则。由于他们实施了直肠乙状结肠切除术并进行了高位结肠一期吻合,他们报告了采用保留和剥离肠系膜下动脉(IMA)的原因。