[急性阑尾炎的诊断问题及腹腔镜阑尾切除术的指征]

[Diagnostic problems in acute appendicitis and indications for laparoscopic appendectomy].

作者信息

Hallfeldt K, Puhlmann M, Waldner H, Schweiberer L

机构信息

Chirurgische Klinik, Klinikum Innenstadt, Ludwig-Maximilians-Universität München.

出版信息

Langenbecks Arch Chir Suppl Kongressbd. 1996;113:553-5.

PMID:9101928

Abstract

A retrospective study analyzing the outcome of 400 appendectomies for acute appendicitis in two different hospitals revealed a negative appendectomy rate of over 25%. As a consequence we altered the operative strategy by employing diagnostic laparoscopy in combination with laparoscopic appendectomy in all uncertain cases while still carrying out a conventional appendectomy when there was diagnostic certainty. Preliminary results show that laparoscopic appendectomy is a safe procedure and that the new concept reduces the negative appendectomy rate.

摘要

一项回顾性研究分析了两家不同医院400例急性阑尾炎阑尾切除术的结果，发现阴性阑尾切除率超过25%。因此，我们改变了手术策略，在所有不确定的病例中采用诊断性腹腔镜检查联合腹腔镜阑尾切除术，而在诊断明确时仍进行传统的阑尾切除术。初步结果表明，腹腔镜阑尾切除术是一种安全的手术方法，并且新的理念降低了阴性阑尾切除率。