Efimenko N A, Chursin V V, Stepanov A A, Balalykin A S
Voen Med Zh. 2007 Aug;328(8):19-24, 96.
The article presents the results of analyze of diagnostic laparoscopy on the example of 1028 patients with clinical characters of appendicitis, diagnosis of 682 patients (66.3%) is conformed. 667 patients (99.3%) had transformation of laparoscopy from diagnostic to medicinal. Postoperative prearranged sanitational laparoscopy was conducted with 28 patients (4.5%), including 1 time--21 patients, 2 times--6 patients, 3 times--patient. 24 patients had different complications (intraperitoneal hemorrhage, commissural and paralytic terminal ileuses, abscesses and infiltrates of abdominal cavity, infiltrates of anterior abdominal wall, subcutaneous eventration of small intestinal loop). There were no lethal outcomes. Average day in a hospital in conditions of acute appendicitis is 4.2 day, in conditions of chronic appendicitis--3.1 day.
本文以1028例具有阑尾炎临床特征的患者为例，介绍了诊断性腹腔镜检查的结果，其中682例（66.3%）诊断得到证实。667例（99.3%）患者的腹腔镜检查从诊断性转变为治疗性。对28例患者（4.5%）进行了术后预防性清洁腹腔镜检查，其中1次检查的有21例，2次检查的有6例，3次检查的有1例。24例患者出现了不同的并发症（腹腔内出血、粘连性和麻痹性末端回肠梗阻、腹腔脓肿和渗出、前腹壁渗出、小肠袢皮下脱出）。无死亡病例。急性阑尾炎患者的平均住院天数为4.2天，慢性阑尾炎患者为3.1天。
