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腹腔镜与开放性阑尾切除术:一项对比研究。

Laparoscopic versus open appendicectomy: a comparative study.

作者信息

Azaro E M, Amaral P C, Ettinger J E, Souza E L, Fortes M F, Alcântara R S, Regis A B, Sousa M M, Fogagnoli W G, do Carmo V M, Galvão T D, Stagliorio E P, Santana P A, Fahel E

机构信息

General Surgery Service-Hospital São Rafael, Bahia, Brazil.

出版信息

JSLS. 1999 Oct-Dec;3(4):279-83.

Abstract

There are many questions regarding the advantages and disadvantages a videolaparoscopic approach in the treatment of acute appendicitis. The authors present the results of a non-randomized, prospective study with 496 patients admitted between January 1992 and March 1998 by the General Surgery Service of São Rafael Hospital Salvador-BA-Brazil. The patients were submitted for appendicectomy by video laparoscopy or by the traditional open method, and variables such as surgery duration, morbidity, mortality, costs, and length of stay (LOS) were compared. The results demonstrate that laparoscopic appendicectomy is a safe alternative for treatment of acute appendicitis; however, there are several disadvantages that gradually must be overcome.

摘要

关于视频腹腔镜手术治疗急性阑尾炎的优缺点存在诸多问题。作者呈现了一项非随机前瞻性研究的结果,该研究涉及1992年1月至1998年3月期间巴西巴伊亚州萨尔瓦多圣拉斐尔医院普通外科收治的496例患者。这些患者接受了视频腹腔镜阑尾切除术或传统开放手术,对手术时长、发病率、死亡率、费用以及住院时间等变量进行了比较。结果表明,腹腔镜阑尾切除术是治疗急性阑尾炎的一种安全选择;然而,仍存在一些必须逐步克服的缺点。

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