Nezhat C, Nezhat F
Fertility and Endoscopy Center, Laser Endoscopy Institute of Atlanta, GA 30342.
Am J Obstet Gynecol. 1991 Sep;165(3):559-64. doi: 10.1016/0002-9378(91)90284-x.
One hundred incidental appendectomies were performed in patients undergoing operative laparoscopy (videolaseroscopy) for evaluating and treating various major diseases of the reproductive organs. Except for a fever resolving within 24 hours in one case and mild periumbilical ecchymosis, there were no intraoperative or postoperative complications. All patients were discharged within 24 hours of surgery. Average hospital stay was 14 hours. All cases have been followed up for a minimum of 8 months. We believe any risk associated with elective appendectomy as reported here is minimal and outweighed by the benefits of eliminating future emergency appendectomy, simplifying future differential diagnosis of pelvic pain and removing unsuspected abnormality found in the appendix.
对因评估和治疗各种生殖器官重大疾病而接受手术腹腔镜检查(视频激光腹腔镜检查)的患者进行了100例意外阑尾切除术。除1例在24小时内发热消退以及轻度脐周瘀斑外,无术中或术后并发症。所有患者均在手术后24小时内出院。平均住院时间为14小时。所有病例均已随访至少8个月。我们认为,此处报道的与择期阑尾切除术相关的任何风险极小,且消除未来急诊阑尾切除术、简化未来盆腔疼痛鉴别诊断以及去除阑尾中发现的可疑异常的益处超过了风险。