Meinke A K, Kossuth T
Department of Surgery, Norwalk Hospital, CT 06856.
Surg Endosc. 1994 May;8(5):371-5; discussion 376. doi: 10.1007/BF00642433.
When contemplating converting from open to laparoscopic appendectomy, a prudent surgeon should consider the anticipated learning curve. To evaluate this we reviewed our experience with 20 sequential patients representing this transition. We found the learning curve was brief and did not compromise clinical results. A reduction in hospitalization time without a rise in total hospital costs should encourage the experienced laparoscopic surgeon to consider laparoscopic appendectomy as a viable alternative to standard laparotomy in the resection of the acutely inflamed appendix.
在考虑从开放式阑尾切除术转换为腹腔镜阑尾切除术时，谨慎的外科医生应考虑预期的学习曲线。为了评估这一点，我们回顾了我们对20例连续进行这种转换的患者的经验。我们发现学习曲线很短，并且没有影响临床结果。住院时间的缩短而总住院费用没有增加，这应该促使有经验的腹腔镜外科医生在切除急性发炎的阑尾时，将腹腔镜阑尾切除术视为标准剖腹手术的可行替代方案。
