@article{oai:u-ryukyu.repo.nii.ac.jp:02016130, author = {照屋, 剛 and 安田, 卓 and 深町, 俊之 and 宮里, 浩 and 久高, 学 and 山里, and 将仁 and 大城, 健誠 and 山城, 和也 and 川野, 幸志 and 久高, 弘志 and 与儀, 実津夫 and Teruya, Tsuyoshi and Yasuda, Takashi and Fukamachi, Toshiyuki and Miyazato, Hiroshi and Kudaka, Manabu and Yamazato, Masahito and Ooshiro, Kensei and Yamashiro, Kazuya and Kawano, Koji and Kudaka, Hiroshi and Yogi, Mitsuo}, issue = {4}, journal = {琉球医学会誌 = Ryukyu Medical Journal}, month = {}, note = {We have reviewed 30 patients (22 men and 8 women with a mean age of 54.5 years old) of colonic diverticular disease who had undergone surgical treatment in the last 22 years. The major clinical symptom was abdominal pain, 19 cases with local peritonitis and 9 with melena. Of the 30 cases, 18 patients had right colonic, 10 had left colonic, and 2 had bilateral colonic diverticula. Preoperative diagnoses were 6 cases of acute appendicitis, 3 recurrent diverticuhtis, 2 diverticular perforation, 8 intestinal bleeding, 1 colovesical fistula, 5 intestinal stenosis, and 5 cases of intra-abdominal abscess with a palpable mass. The surgical procedures performed were ileocecal resection in 9 cases, partial resection of the ascending colon in 1, right hemicolectomy in 9, sigmoidectomy in 7, and left hemicolectomy in 1 case. Primary anastomosis was performed in all the cases. Hartman n's procedure was used in two cases. Right-sided diverticular disease was associated with a high incidence of diverticuhtis and bleeding, while the left-sided type with stenosis. In the bilateral type, bleeding was observed. Postoperative complications were 2 cases of wound infection and 1 case each of intra-abdominal abscess, intestinal obstruction, and congestive heart failure. All cases were treated conservatively. So far recurrence of diverticular disease has not been observed in any of our cases. Complications of diverticular disease of the colon vary widely in this study, therefore an adequate diagnosis and surgery should be done in accordance with the patient s general condition., 論文}, pages = {155--161}, title = {[原著]大腸憩室症手術症例の検討}, volume = {23}, year = {2004} }