Champault G, Belhassen A, Rizk N, Lauroy J, Vazzana G, Boutelier P
Service de Chirurgie Générale et Digestive, Hôpital Jean Verdier, Bondy.
J Chir (Paris). 1993 Jan;130(1):5-8.
The authors have compared their early (50 cases) experience on laparoscopic appendectomy for acute appendicitis with a control group treated by open approach. A teaching period is necessary to reduce the converting rate to an open procedure from 22% to 6% p = 0.05 and to obtain an equal median anesthesia time (39 vs 40 mn+/-16) ns). The mean post operative stay for open operation was 5-8 (range 3-23) days and for the laparoscopic route 3.3 (range 1-8) days (p < 0.005). The wound infection rate was 16% (n = 8) for open/ and 0% for laparoscopic appendectomy p = 0.001. The results suggest that emergency laparoscopic appendectomy should be explored further as an alternative to open surgery for acute appendicitis.
作者将他们早期（50例）急性阑尾炎腹腔镜阑尾切除术的经验与采用开放手术治疗的对照组进行了比较。需要一个教学阶段，以将转为开放手术的比例从22%降至6%（p = 0.05），并使中位麻醉时间相等（39对40分钟±16）（无显著差异）。开放手术的平均术后住院时间为5 - 8天（范围3 - 23天），腹腔镜手术为3.3天（范围1 - 8天）（p < 0.005）。开放手术的伤口感染率为16%（n = 8），腹腔镜阑尾切除术为0%（p = 0.001）。结果表明，作为急性阑尾炎开放手术的替代方法，急诊腹腔镜阑尾切除术应进一步探索。
