Mosegaard A, Nielsen O S
Acta Chir Scand. 1979;145(2):109-11.
79 patients were admitted with a periappendicular abscess at the Surgical Organic Department, Randers Centralsygehus in a 5-year-period from April 1, 1970 to April 1, 1975. Appendectomy à froid was not made on 9 patients. A questionnaire in 7 patients showed no recurrence after an observation period of an average 2.4 years. Appendectomy à froid was made on 70 patients with a complication rate of 13%. The operation could be regraded as quite unnecessary in 14%. Therefore appendectomy à froid cannot be recommended as a routine operation, but all patients ought to be controlled until the palpable mass has disappeared, and only in cases of doubt and in symptomatic cases the patients ought to be operated. All patients over a certain age, 40 years for instance, ought to have performed a colon X-ray with double contrast or coloscopy to exclude a coecal cancer.
1970年4月1日至1975年4月1日的5年期间，兰讷斯中央医院外科收治了79例阑尾周围脓肿患者。9例患者未进行急诊阑尾切除术。对7例患者进行问卷调查，平均观察2.4年后未发现复发。70例患者接受了急诊阑尾切除术，并发症发生率为13%。14%的手术可被认为是完全不必要的。因此，不建议将急诊阑尾切除术作为常规手术，但所有患者都应进行监测，直到可触及的肿块消失，只有在有疑问的病例和有症状的病例中才应对患者进行手术。所有超过一定年龄（例如40岁）的患者都应进行结肠双重对比X线检查或结肠镜检查，以排除盲肠癌。
