Nekrasov A Iu
Eksp Klin Gastroenterol. 2005(4):49-52, 112-3.
The article describes an experience of the diagnostics and treatment of 550 patients who were hospitalized with acute appendicitis. Diagnostic laparoscopy was performed for 200 patients with acute appendicitis as a presumptive diagnosis. 350 patients underwent laparoscopic appendectomy. It was possible to avoid ineffective laparotomy in the course of diagnostic laparoscopy in 88% of patients with unclear symptoms of acute appendicitis, and to establish other acute diseases of the abdominal cavity in 12% of cases. Laparoscopic appendectomy can be performed practically at any form of appendix inflammation. It is better to carry out laparoscopic appendectomy using the clip method, and to treat the mesoappendix by monocoagulation.
本文描述了550例因急性阑尾炎住院患者的诊断和治疗经验。对200例疑似急性阑尾炎患者进行了诊断性腹腔镜检查。350例患者接受了腹腔镜阑尾切除术。在88%症状不明确的急性阑尾炎患者中,通过诊断性腹腔镜检查避免了无效的剖腹手术,在12%的病例中发现了其他腹腔急性疾病。腹腔镜阑尾切除术几乎可以在任何阑尾炎症形式下进行。采用钛夹法进行腹腔镜阑尾切除术更好,阑尾系膜采用单极电凝处理。