Surgical Treatment of Colonic Diverticular Disease

Abstract

Of the colonic diverticular disease, right side type is a majority in our country, and usually there is no indication for the operation except when accompanied with serious complications. Relapsing right colonic diverticulitis. is usually treated safely by right hemicolectomy. On the other hand., left side type has high incidence of such life-threatening complications as perforation resulting in localized or general peritonitis. This means the patients are apt to be treated as acute abdomen cases. In our experience of this disease, nineteen cases were treated surgically, eleven cases electively, eight cases as emergency.The latter contains five cases of peritonitis caused by sigmoid colon perforation, one case of intestinal obstruction by pericolic abscess, two cases found during the laparatomy begun with the prediagnosis of appendicitis. We performed the elective operation as one stage, including two cases of hemorrhage. Satged operations were performed in the cases of perforation. The first procedures are resection of the whole lesion and colostomy (Hartmann's operation), and the second is anastomosis. For the cases found during appendectomy operation, only dranage is performed at that time and colonic resection is performed secondarily.