Baker A
Department of Surgery, Wellington Hospital.
N Z Med J. 1999 Jun 11;112(1089):208-11.
A retrospective audit was carried out of a single advance surgical trainee's experience with laparoscopic appendicectomy, in an attempt to justify its ongoing utilization in the management of patients with this acute surgical presentation.
Two hundred laparoscopic appendicectomies have been performed over the last four years on an intention-to-treat basis. Sixty-five per cent have been female, with an average population age of 24 years. There was a true appendicitis rate of 79%, with a conversion rate of 6%, and a mean operating time of 32 minutes. Complications have included intra-abdominal sepsis in three (1.5%) and postoperative ileus (1%). There have been no reported wound infections. The mean times to discharge were two days in the laparoscopic group and 3.7 days in the converted group.
This study supports the utilization of laparoscopic appendicectomy as a safe and effective operation for surgical trainees to gain laparoscopic experience.
对一名高级外科实习医生的腹腔镜阑尾切除术经验进行回顾性审计，以证明其在处理这种急性外科病症患者时持续应用的合理性。
在过去四年中，基于意向性治疗原则共进行了200例腹腔镜阑尾切除术。其中65%为女性，平均年龄24岁。真正的阑尾炎发生率为79%，中转开腹率为6%，平均手术时间为32分钟。并发症包括3例（1.5%）腹腔内感染和1例（1%）术后肠梗阻。未报告伤口感染情况。腹腔镜组的平均出院时间为2天，中转开腹组为3.7天。
本研究支持将腹腔镜阑尾切除术作为一种安全有效的手术，供外科实习医生积累腹腔镜手术经验。
