PDF(Pubmed)
Abstract：
Diverticulitis is a common indication for colorectal surgery, both in the acute and the elective setting. The anastomosis between the colon and rectum is a critical component of colectomy for diverticular disease and should be approached thoughtfully. This article reviews important surgical considerations when creating a colorectal anastomosis in the setting of diverticular disease, whether following the reversal of an end colostomy, during an acute episode of diverticulitis, or electively for chronic or complicated disease. Timing of surgery and preoperative assessment, minimally invasive approaches, and intraoperative maneuvers and considerations are discussed.
摘要：
憩室炎是结直肠手术的常见指征，无论是在急性还是选修环境中。结肠和直肠之间的吻合是憩室疾病结肠切除术的关键组成部分，应深思熟虑。本文回顾了在憩室疾病中创建结直肠吻合术时的重要手术注意事项，是否在结肠造口术逆转后，在憩室炎的急性发作期间，或选择性治疗慢性或复杂疾病。手术时机和术前评估，微创方法，讨论了术中的操作和注意事项。
