Hellers G, Ewerth S, Bergstrand O
Acta Chir Scand Suppl. 1980;500:37-8.
The aim of this study was to investigate if appendicectomy en passant in connection with exploratory laparotomy for ileocolic Crohn's disease increases the risk for development of postoperative fecal fistula. This was studied among 105 patients, 65 of whom had an additional appendicectomy and 40 who had not. The postoperative frequency of fecal fistula was 18.5 versus 15% in the two groups. The difference is not significant. On balance, appendicectomy is advised under these circumstances.
本研究的目的是调查在因回结肠型克罗恩病行剖腹探查术时一并切除阑尾是否会增加术后粪瘘发生的风险。对105例患者进行了研究,其中65例还接受了阑尾切除术,40例未接受。两组术后粪瘘发生率分别为18.5%和15%。差异无统计学意义。总体而言,在这些情况下建议行阑尾切除术。