Tate J J, Chung S C, Dawson J, Leong H T, Chan A, Lau W Y, Li A K
Department of Surgery, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories.
Br J Surg. 1993 Jun;80(6):761-4. doi: 10.1002/bjs.1800800636.
A total of 155 consecutive patients with suspected acute appendicitis were studied to compare laparoscopic and conventional operations. Patients were not randomized: laparoscopy was performed when a suitably trained surgeon and laparoscopic instruments were available. Laparoscopic appendicectomy was attempted in 51 patients and was successful in 46 (90 per cent); all conversions to open operation were because of marked inflammatory adhesions around the appendix. There were no intraoperative complications. Reintroduction of normal diet and discharge from hospital occurred earlier after laparoscopic than open surgery (P < 0.05). The requirement for analgesia after successful laparoscopic surgery was less than that after conventional appendicectomy, but the difference was not significant. The incidence of wound infection was reduced after the laparoscopic procedure (P = 0.06). It is concluded that laparoscopic appendicectomy is practical and may have advantages over conventional operation, although a randomized study is necessary.
共对155例疑似急性阑尾炎的连续患者进行了研究，以比较腹腔镜手术和传统手术。患者未进行随机分组：当有经过适当培训的外科医生和腹腔镜器械时，即进行腹腔镜检查。对51例患者尝试进行腹腔镜阑尾切除术，46例（90%）成功；所有转为开放手术均是因为阑尾周围有明显的炎性粘连。无术中并发症。腹腔镜手术后恢复正常饮食和出院时间比开放手术早（P<0.05）。成功的腹腔镜手术后镇痛需求少于传统阑尾切除术后，但差异不显著。腹腔镜手术后伤口感染发生率降低（P=0.06）。结论是，腹腔镜阑尾切除术切实可行，可能比传统手术有优势，尽管有必要进行随机研究。
