ImportanceCare 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.ObservationsTreatment 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.Conclusions and RelevanceThis 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.

中文翻译：

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憩室炎的治疗

重要性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左侧单纯性和复杂性憩室炎的当前证据。还回顾了最新的病理生理学、诊断进展和预防策略。观察治疗正在转向门诊环境，医生正在放弃对无并发症疾病的抗生素治疗，憩室炎择期手术的决定已变得对偏好敏感。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。结论和相关性本综述提供了憩室炎治疗最佳实践的最新总结，以指导结直肠外科医生和普通外科医生的治疗患有这种常见疾病的患者。