Conventional versus laparoscopic surgery for acute appendicitis
| Autor: | J. W. Dawson, Angus C.W. Chan, J. J. T. Tate, W. V. Lau, Arthur K.C. Li, Scs Chung, H. T. Leong |
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| Rok vydání: | 1993 |
| Předmět: |
Adult
Male Laparoscopic surgery medicine.medical_specialty Adolescent medicine.medical_treatment law.invention Laparoscopic appendicectomy Postoperative Complications Randomized controlled trial law medicine Appendectomy Humans Prospective Studies Laparoscopy Aged Retrospective Studies Postoperative Care medicine.diagnostic_test business.industry General surgery Length of Stay Middle Aged Appendicitis medicine.disease Appendix Surgery Endoscopy medicine.anatomical_structure Acute Disease Acute appendicitis Female business |
| Zdroj: | British Journal of Surgery. 80:761-764 |
| ISSN: | 1365-2168 0007-1323 |
| DOI: | 10.1002/bjs.1800800636 |
| Popis: | 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 die; 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. |
| Databáze: | OpenAIRE |
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