Kong Ling-Jian, Liu Dan, Zhang Ji-Yu, Ullah Saif, Zhao Lixia, Li Deliang, Yang Huiyu, Liu Bing-Rong
Department of Gastroenterology and Hepatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, P. R. China.
Endoscopy. 2022 Apr;54(4):396-400. doi: 10.1055/a-1490-0434. Epub 2021 Jun 17.
This study aimed to investigate the diagnostic and therapeutic value of a digital single-operator cholangioscope (SOC) system for endoscopic management of acute appendicitis.
14 patients with acute uncomplicated simple or supportive appendicitis were evaluated between November 2018 and September 2020. The diagnosis of acute appendicitis was confirmed by direct colonoscopy imaging and cholangioscope. The success rate of digital SOC-assisted endoscopic retrograde appendicitis therapy (ERAT), the procedure time, postoperative length of hospital stay, complications, and recurrence rate were recorded.
Technical success rate was 100 %, with high quality imaging of the appendiceal cavity achieved using SOC in all 14 patients. The mean procedure time was 37.8 (standard deviation [SD] 22) minutes. All patients experienced immediate relief from abdominal pain after the procedure. Mean postoperative hospitalization was 1.9 (SD 0.7) days. No recurrence occurred during 2-24 months of follow-up.
Digital SOC-assisted ERAT provided a feasible, safe, and effective alternative approach for diagnosis and management of acute uncomplicated appendicitis without the need for X-ray or ultrasonic guidance.
本研究旨在探讨数字单操作者胆管镜（SOC）系统在急性阑尾炎内镜治疗中的诊断和治疗价值。
2018年11月至2020年9月期间，对14例急性非复杂性单纯性或支持性阑尾炎患者进行了评估。通过直接结肠镜成像和胆管镜确认急性阑尾炎的诊断。记录数字SOC辅助内镜逆行阑尾炎治疗（ERAT）的成功率、手术时间、术后住院时间、并发症和复发率。
技术成功率为100%，14例患者均使用SOC获得了阑尾腔的高质量成像。平均手术时间为37.8（标准差[SD]22）分钟。所有患者术后腹痛立即缓解。术后平均住院时间为1.9（SD 0.7）天。在2至24个月的随访期间未发生复发。
数字SOC辅助ERAT为急性非复杂性阑尾炎的诊断和治疗提供了一种可行、安全且有效的替代方法，无需X射线或超声引导。
