Delarue A, Guys J M, Louis-Borrione C, Simeoni J, Esposito C
Department of Pediatric Surgery, Hôpital d'Enfants de la Timone, Marseilles, France.
Eur J Pediatr Surg. 1994 Dec;4(6):323-6. doi: 10.1055/s-2008-1066125.
82 endoscopic surgical procedures (abdominal: 77; thoracic: 5) were performed by the same surgeon on 75 children aged from 1 month to 17 years (median 8.1 years) during the two-year period from January 1991 to December 1992. Due to the multispecialization of the Children's Hospital, a variety of pathologies were explored or treated with appendectomy accounting for 33% (27/82). There were no perioperative deaths. Three major complications occurred (1 post-appendectomy peritonitis, 1 hemorrhage during splenectomy and 1 post-operative occlusion). 14 patients required conversion to open surgery. Indications for endoscopic exploration of advanced lesions, prospective indications, and policy when confronted with a healthy appendix are discussed.
在1991年1月至1992年12月的两年期间，同一位外科医生为75名年龄从1个月至17岁（中位数8.1岁）的儿童实施了82例内镜手术（腹部手术：77例；胸部手术：5例）。由于儿童医院的多学科特点，探索或治疗了多种病理情况，其中阑尾切除术占33%（27/82）。无围手术期死亡病例。发生了3例严重并发症（1例阑尾切除术后腹膜炎、1例脾切除术中出血和1例术后梗阻）。14例患者需要转为开放手术。文中讨论了晚期病变的内镜探查指征、前瞻性指征以及遇到正常阑尾时的处理策略。
