成人择期阑尾切除术：必要之恶？
Interval appendectomy in adults: A necessary evil?
作者信息
Quartey Benjamin
机构信息
Department of Surgery, National Naval Medical Center, Bethesda, MD 20889, USA.
出版信息
J Emerg Trauma Shock. 2012 Jul;5(3):213-6. doi: 10.4103/0974-2700.99683.
Abstract
The management of appendiceal mass remains a matter of major controversy in the current literature. Currently, initial nonoperative management followed by interval appendectomy is favored over immediate appendicectomy. However, the necessity of doing an interval appendectomy has been questioned - is it a necessary evil? The present review revisits the above controversy, evaluates the current literature, assesses the need for interval appendectomy in adults, and provides recommendations.
摘要
阑尾肿块的处理在当前文献中仍是一个备受争议的问题。目前，相较于立即进行阑尾切除术，先采用非手术治疗随后进行间隔期阑尾切除术更受青睐。然而，间隔期阑尾切除术的必要性受到了质疑——它是一种必要的恶行吗？本综述重新审视上述争议，评估当前文献，评估成人进行间隔期阑尾切除术的必要性，并提供建议。
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本文引用的文献
1
Can interval appendectomy be justified following conservative treatment of perforated acute appendicitis?保守治疗穿孔性急性阑尾炎后行间隔期阑尾切除术是否合理？
J Surg Res. 2010 Nov;164(1):91-4. doi: 10.1016/j.jss.2009.05.025. Epub 2009 Jun 16.
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Management of appendiceal mass: controversial issues revisited.阑尾肿块的管理：重新审视有争议的问题。
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Nonsurgical treatment of appendiceal abscess or phlegmon: a systematic review and meta-analysis.阑尾脓肿或蜂窝织炎的非手术治疗：一项系统评价和荟萃分析
Ann Surg. 2007 Nov;246(5):741-8. doi: 10.1097/SLA.0b013e31811f3f9f.
4
Routine interval appendectomy is unnecessary after conservative treatment of appendiceal mass.阑尾肿块保守治疗后无需常规进行间隔期阑尾切除术。
Colorectal Dis. 2008 Jun;10(5):465-8. doi: 10.1111/j.1463-1318.2007.01377.x. Epub 2007 Sep 13.
5
Interval appendicectomy after appendiceal mass or abscess in adults: what is "best practice"?成人阑尾肿块或脓肿后的间隔期阑尾切除术：“最佳实践”是什么？
Surg Today. 2007;37(1):1-4. doi: 10.1007/s00595-006-3334-2. Epub 2007 Jan 1.
6
Interval appendectomy after conservative treatment of an appendiceal mass.阑尾肿块保守治疗后的间隔期阑尾切除术。
World J Surg. 2006 Mar;30(3):352-7. doi: 10.1007/s00268-005-0128-4.
7
Watchful waiting versus interval appendectomy for patients who recovered from acute appendicitis with tumor formation: a cost-effectiveness analysis.急性阑尾炎伴肿瘤形成后康复患者的观察等待与间隔期阑尾切除术：一项成本效益分析
J Chin Med Assoc. 2005 Sep;68(9):431-4. doi: 10.1016/S1726-4901(09)70159-5.
8
Routine interval appendectomy is not justified after initial nonoperative treatment of acute appendicitis.急性阑尾炎初次非手术治疗后，常规进行间隔期阑尾切除术并无道理。
Arch Surg. 2005 Sep;140(9):897-901. doi: 10.1001/archsurg.140.9.897.
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