맹장 게실염의 치료
Management of Cecal Diverticulitis
성종제, 송단, 홍관의, 박래경,
소속 상세정보
성종제 ( Sung Jong-Je )
순천향대학교 구미병원 외과학교실
송단 ( Song Dan )
순천향대학교 구미병원 외과학교실
홍관의 ( Hong Gaun-Yue )
순천향대학교 구미병원 외과학교실
박래경 ( Park Nae-Kyeong )
순천향대학교 구미병원 외과학교실
KMID : 0356720040200050251
Abstract
Purpose: Diverticular disease of the cecum and ascending colon is a relatively uncommon disease, and is often difficult to diagnose. The purpose of this study was to investigate the clinical features of patients who underwent surgical treatment for cecal diverticulitis.
Methods: A retrospective review was conducted between January 1998 and December 2002 of 44 patients treated at the Department of Surgery, Soonchunghyang Gumi Hospital.
Results: All patients presented with right lower quadrant pain and tenderness.
Preoperatively, 34 patients were diagnosed with acute appendicitis. The surgical procedures for cecal diverticulitis were an appendectomy only (5 cases), a diverticulectomy with appendectomy (31 cases), and a right hemicolectomy
(8 cases). Postoperative complications were found in 17 cases: wound infection (13 cases), and partial intestinal obstruction (2 cases).
Conclusions: When cecal diverticulitis is found at the time of an operation, surgical management is a safe treatment with low morbidity and a low recurrence rate. A diverticulectomy with appendectomy is a safe and effective procedure for the treatment
of cecal diverticulitis if there is no evidence of free perforation or abscess formation. If the diverticulitis is complicated, undistinguishable from a malignancy, a resection
(ileocecal resection, right hemicolectomy) should be considered for the surgical treatment. J Korean Soc Coloproctol 2004;20:251-256
키워드
맹장 게실염
Diverticulitis;Cecal
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