Perrier G, Bokobza B, Selman M, Leturgie C
Service de Chirurgie Viscérale et Vasculaire, Centre Hospitalier du Havre, Hôpital Jacques Monod.
J Chir (Paris). 1994 Mar;131(3):135-7.
The practice of coelioscopic approach in acute appendicitis is still very much debated. A study of the results of 73 patients carried out over two and half years leads one to conclude to the interest of this technique also for the treatment of appendicular peritonitis. Full exploration of the abdominal cavity, easy discovery of ectopic appendix, treatment of associated lesions, extended peritoneal washing, are the observed advantages together with reduced length of hospitalisation and few post-operative complications, in particular parietals problems and obstructions at long term. The experience of the surgeon becomes of prime importance to reduce operating time, frequency of open-surgery converting and complications.
腹腔镜方法在急性阑尾炎治疗中的应用仍存在很大争议。一项对73例患者进行了两年半的研究结果表明,该技术对于治疗阑尾性腹膜炎也具有益处。观察到的优势包括对腹腔的全面探查、易于发现异位阑尾、治疗相关病变、扩大腹膜冲洗范围,以及缩短住院时间和减少术后并发症,特别是长期的腹壁问题和肠梗阻。外科医生的经验对于减少手术时间、开腹手术转换频率和并发症至关重要。