Mesh : Humans Diverticulitis / therapy surgery Diverticulitis, Colonic / therapy surgery diagnosis Anti-Bacterial Agents / therapeutic use Elective Surgical Procedures Robotic Surgical Procedures

来  源:   DOI:10.1001/jamasurg.2023.8104

Abstract:
UNASSIGNED: Care of patients with diverticulitis is undergoing a paradigm shift. This narrative review summarizes the current evidence for left-sided uncomplicated and complicated diverticulitis. The latest pathophysiology, advances in diagnosis, and prevention strategies are also reviewed.
UNASSIGNED: Treatment is moving to the outpatient setting, physicians are forgoing antibiotics for uncomplicated disease, and the decision for elective surgery for diverticulitis has become preference sensitive. Furthermore, the most current data guiding surgical management of diverticulitis include the adoption of new minimally invasive and robot-assisted techniques.
UNASSIGNED: This review provides an updated summary of the best practices in the management of diverticulitis to guide colorectal and general surgeons in their treatment of patients with this common disease.
摘要:
憩室炎患者的护理正在经历范式转变。这篇叙述性综述总结了目前左侧简单和复杂憩室炎的证据。最新的病理生理学,诊断的进步,并审查了预防策略。
治疗正在转向门诊,医生们放弃了治疗简单疾病的抗生素,择期手术治疗憩室炎的决定已经变得偏好敏感。此外,指导憩室炎手术治疗的最新数据包括采用新的微创和机器人辅助技术.
这篇综述提供了治疗憩室炎的最佳实践的最新摘要,以指导结直肠和普通外科医生治疗这种常见疾病的患者。
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