| 摘要 |
Between August 1993 and March 1996, a total of 175 patients with clinically suspected acute appendicitis were diagnosed and received laparoscope treatment at this hospital. There were 91 male patients, ages ranging from 10 to 79 y/o (average 33.1士16.8 y/0), and 84 female patients, ages ranging from 13 to 75 y/o (average 29.8-11.5 y/o). Pathological reports confirmed the diagnosis of acute appendicitis in 119 of 175 patients. The clinical diag-nostic accuracy rate was 68%. The accuracy rate was 75% for males and 61% for females. A total of eight cases (4.6%) needed conversion: three cases (1.8%) experienced technical failure, treatment plan was changed in two cases, three cases (1.8%) suffered injury to abdominal organs during the insertion of the first trocar. Three patients (1.8%) developed trocar site infection and six cases developed intra-abdominal infection (3.6%). Excluding cases requiring conversion and concomitant gynecological operation, the average operation time was 41-8 minutes (19-61 minutes). The average length of hospital stay (LOS) was 3.8-3.1 days. The average LOS for patients without complications was 3.1-2.2 days, and 5.6-5.9 days for patients with complications. There was no mortality. The complication rate, operation time and length of hospital stay for laparoscopic appendectomy
are within acceptable limits. It also has many additional advantages over the traditional open method. We believe that laparoscopic appendectomy is a good choice of treatment for patients suspected of acute appendicitis. |
