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急性穿孔性阑尾炎后形成阑尾包块的最佳治疗方法是什么。

What is the optimal treatment for appendiceal mass formed after acute perforated appendicitis.

出版信息

World J Gastroenterol. 2012 Apr 21;18(15):1849-50. doi: 10.3748/wjg.v18.i15.1849.

DOI:10.3748/wjg.v18.i15.1849
PMID:22553413
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3332302/
Abstract

We read with great interest the editorial article by Meshikhes AWN published in issue 25 of World J Gastroenterol 2011. The article described the advantages of emergency laparoscopic appendectomy compared with interval appendectomy as a new safe treatment modality for the appendiceal mass. The author concluded that the emergency laparoscopic appendectomy was a safe treatment modality for the appendiceal mass, and might prove to be more cost-effective than conservative treatment, with no need for interval appendectomy. However, we would like to highlight certain issues regarding the possibility of percutaneous catheter drainage to successfully treat the appendiceal mass, with no need for appendectomy, too.

摘要

我们饶有兴致地拜读了 Meshikhes AWN 教授在 2011 年第 25 期《世界胃肠病学杂志》上发表的社论。这篇文章描述了急诊腹腔镜阑尾切除术相对于间隔期阑尾切除术的优势,将其作为阑尾包块的一种新的安全治疗方式。作者得出结论,急诊腹腔镜阑尾切除术是阑尾包块的一种安全治疗方式,与保守治疗相比,可能更具成本效益,无需间隔期阑尾切除术。然而,我们想强调指出,经皮导管引流术也有可能成功治疗阑尾包块,无需进行阑尾切除术。

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[Modern treatment of an appendiceal mass].[阑尾肿块的现代治疗]
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本文引用的文献

1
Appendiceal mass: is interval appendicectomy "something of the past"?阑尾包块:间隔期阑尾切除术是否“成为过去式”?
World J Gastroenterol. 2011 Jul 7;17(25):2977-80. doi: 10.3748/wjg.v17.i25.2977.
2
Comparison of therapeutic effectiveness of percutaneous drainage with antibiotics versus antibiotics alone in the treatment of periappendiceal abscess: is appendectomy always necessary after perforation of appendix?经皮引流联合抗生素与单纯使用抗生素治疗阑尾周围脓肿的疗效比较:阑尾穿孔后是否总是需要进行阑尾切除术?
Surg Endosc. 2007 Mar;21(3):461-6. doi: 10.1007/s00464-006-9005-y. Epub 2006 Nov 14.