Fleming P P, Chan A K, O'Brien M G, O'Sullivan G C
Department of Surgery, Mercy Hospital, Cork, Ireland.
Ir J Med Sci. 1997 Jan-Mar;166(1):13-5. doi: 10.1007/BF02939768.
Laparoscopic appendicectomy has been the subject of several encouraging reports, but has not as yet gained widespread acceptance. We present a series of 159 consecutive laparoscopic appendicectomies performed, over a 4 yr period, in both adults and children. We find the procedure as safe as its open counterpart, with patients fit to leave hospital within the same time period. Perforated appendices were amenable to this procedure, and the location of the appendix did not alter the outcome. Children responded as well as adults post-operatively. Obesity may be an indication for this form of treatment. Removal of displaced faecoliths associated with perforated appendicitis is a difficult technical problem in less than 5 per cent of patients.
腹腔镜阑尾切除术已有多篇令人鼓舞的报道，但尚未得到广泛认可。我们呈现了在4年期间为成人和儿童连续实施的159例腹腔镜阑尾切除术。我们发现该手术与开放性手术一样安全，患者能够在相同时间段内康复出院。穿孔性阑尾炎适合采用此手术方法，阑尾的位置并不影响手术结果。儿童术后恢复情况与成人相同。肥胖可能是这种治疗方式的一个适应证。在不到5%的患者中，取出与穿孔性阑尾炎相关的移位粪石是一个技术难题。
