Twena M, Avinoah E, Shaked G, Charuzi I
Dept. of Surgery C, Soroka Medical Center, Beer Sheba.
Harefuah. 1993 Jun 1;124(11):676-8, 740.
During April to August 1992, laparoscopies were performed in this department in 35 of 100 cases of appendicitis. The average patient age was 29 years; 18 of the 35 (51%) were women; 3 patients were operated on electively, and the rest as emergencies. Appendectomy was performed in 33 (94%), but not in 2 women with sepsis due to tubo-ovarian abscess; In 1 of these 2 we had to convert to laparotomy. Acute appendicitis was found in 20 (57%). In 7 women (20%) gynecologic disease was diagnosed. In 1 case (3%) a carcinoid tumor of the tip of the appendix was found and in another primary peritonitis. In the remaining 6 (17%) no lesions were found. In 33 (94%) a regular diet was resumed 25 hours postoperatively and 25 (71%) were discharged the day after operation. The only complication was an abdominal wall hematoma in a single case, which resolved spontaneously. It is our impression that laparoscopy is a useful diagnostic tool in acute appendicitis, that it is a safe route for appendectomy, and that recovery is quick with minimal complications.
1992年4月至8月期间，本科室对100例阑尾炎患者中的35例进行了腹腔镜检查。患者平均年龄为29岁；35例中有18例（51%）为女性；3例为择期手术，其余为急诊手术。33例（94%）进行了阑尾切除术，但2例因输卵管卵巢脓肿导致败血症的女性未进行阑尾切除术；在这2例中的1例，我们不得不转为开腹手术。发现急性阑尾炎20例（57%）。7例女性（20%）被诊断为妇科疾病。1例（3%）发现阑尾尖端类癌肿瘤，另1例为原发性腹膜炎。其余6例（17%）未发现病变。33例（94%）术后25小时恢复正常饮食，25例（71%）术后次日出院。唯一的并发症是1例腹壁血肿，自行消退。我们的印象是，腹腔镜检查是急性阑尾炎的一种有用诊断工具，是阑尾切除术的安全途径，恢复快且并发症少。
