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首页> 外文期刊>Surgical Endoscopy >Early laparoscopic appendectomy for appendicular mass.
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Early laparoscopic appendectomy for appendicular mass.

机译：早期腹腔镜阑尾切除术治疗阑尾肿块。

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BACKGROUND: The surgical management of acute appendicitis presenting with appendicular mass remains controversial. The aim of this study was to evaluate the role of early laparoscopy and laparoscopic appendectomy (LA) in the management of appendicular mass. METHODS: During a 1-year period, 62 patients underwent LA for suspected appendicitis (n = 50), generalized peritonitis (n = 2), and an appendicular mass (n = 10). Another patient who presented with an appendicular mass was found at laparoscopy to have an ileo-ileal intussusception. RESULTS: All appendectomies were attempted and completed laparoscopically. Postoperative complications occurred in two patients; there were no deaths. None of the patients treated for an appendicular mass developed complications. There was no difference between the patients who underwent LA during the index admission for an appendicular mass and those who had surgery for non-mass-forming appendices with regard to the operative time (median [interquartile range]: 45 [36-60] vs 40 [25-50] min, p = 0.085) and postoperative hospital stay (median [interquartile range]: 2 [1-2] vs [1-2] days, p = 0.1). CONCLUSION: Early LA during the index admission of patients with an appendicular mass is feasible and safe, obviates the need for a second hospital admission, and avoids misdiagnoses.
机译：背景：急性阑尾炎伴阑尾肿块的手术治疗仍存在争议。这项研究的目的是评估早期腹腔镜和腹腔镜阑尾切除术（LA）在阑尾肿块处理中的作用。方法：在1年的时间里，有62例因疑似阑尾炎（n = 50），全身性腹膜炎（n = 2）和阑尾肿块（n = 10）接受了LA手术。另一位出现阑尾肿块的患者在腹腔镜检查中发现有回肠回肠套叠。结果：所有阑尾切除术均经腹腔镜检查完成。 2例患者发生术后并发症。没有死亡。接受阑尾肿块治疗的患者均未出现并发症。就手术时间而言，在接受阑尾肿块索引接受LA手术的患者和接受非肿块阑尾手术的患者之间，手术时间没有差异（中位[四分位间距]：45 [36-60] vs 40 [25-50]分钟，p = 0.085）和术后住院时间（中位[四分位间距]：2 [1-2]天与[1-2]天，p = 0.1）。结论：阑尾肿块患者入院时早期LA是可行且安全的，避免了再次入院的需要，并避免了误诊。

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