Tranmer B I, Graham A M, Sterns E E
Can J Surg. 1981 Mar;24(2):191-2.
A consecutive group of 100 patients over the age of 40 years, who were operated upon for histologically proven acute appendicitis, were reviewed. Although there were no deaths, 36 had complications, of which 30 were related to wound infection. Thirty-one patients were found at operation to have perforation. Of these 100 patients, 13 could have had their appendices removed previously at the time of an elective laparotomy. The morbidity of incidental appendectomy was reviewed in 200 randomly selected patients, also over the age of 40 years, who underwent either elective hysterectomy or cholecystectomy. Half had an incidental appendectomy and the other half did not. The indication for appendectomy was the preference of the surgeon. There was no important difference in operative or postoperative problems in the two groups of patients. The authors conclude that incidental appendectomy is a worthwhile and safe procedure unless there are specific contraindications.
对连续100例年龄超过40岁、经组织学证实为急性阑尾炎并接受手术治疗的患者进行了回顾性研究。虽然无死亡病例，但有36例出现并发症，其中30例与伤口感染有关。术中发现31例患者存在穿孔。在这100例患者中，13例本可在择期剖腹手术时一并切除阑尾。对另外200例年龄同样超过40岁、接受择期子宫切除术或胆囊切除术的随机选择患者的附带阑尾切除术的发病率进行了回顾性研究。一半患者接受了附带阑尾切除术，另一半未接受。阑尾切除术的指征由外科医生决定。两组患者在手术或术后问题方面没有显著差异。作者得出结论，除非有特定禁忌证，附带阑尾切除术是一项值得且安全的手术。
