Luthi F, Dusmet M, Merlini M
Département de chirurgie, Hôpital, La Chaux-de-Fonds.
Helv Chir Acta. 1993 Sep;60(1-2):39-42.
Diagnostic laparoscopy is useful in the evaluation of patients with lower right quadrant pain when the diagnosis is uncertain. The object of this study was to determine whether a normal appendix should be routinely removed at laparoscopy. We have decided to do this in children, men under the age of 30 and women of childbearing age. However we do not perform appendectomy in men over the age of 30, women over 50 and in immunodeficient patients. This is a working hypothesis and is the basis of an on-going prospective study in our unit.
当诊断不明确时，诊断性腹腔镜检查对评估右下腹疼痛的患者很有用。本研究的目的是确定在腹腔镜检查时是否应常规切除正常阑尾。我们已决定在儿童、30岁以下男性和育龄女性中这样做。然而，我们不对30岁以上男性、50岁以上女性和免疫功能低下患者进行阑尾切除术。这是一个可行的假设，也是我们科室正在进行的一项前瞻性研究的基础。
