Laparoscopic treatment of perforated appendicitis

被引:34
|
作者
Lin, Heng-Fu [1 ,2 ,3 ]
Lai, Hong-Shiee [4 ]
Lai, I-Rue [4 ,5 ]
机构
[1] Far Eastern Mem Hosp, Dept Surg, Taipei 220, Taiwan
[2] Natl Taiwan Univ Hosp, Dept Emergency Med, Taipei 100, Taiwan
[3] Natl Taiwan Univ, Coll Med, Taipei 100, Taiwan
[4] Natl Taiwan Univ Hosp, Dept Surg, Taipei 100, Taiwan
[5] Natl Taiwan Univ, Coll Med, Dept Anat & Cell Biol, Taipei 100, Taiwan
关键词
Perforation; Laparoscopic appendectomy; Intra-abdominal abscess; Cost; INITIAL NONOPERATIVE MANAGEMENT; SMALL-BOWEL OBSTRUCTION; OPEN APPENDECTOMY; COMPLICATED APPENDICITIS; INTERVAL APPENDECTOMY; INFECTIOUS COMPLICATIONS; CHILDREN; OUTCOMES; ABSCESS; STUMP;
D O I
10.3748/wjg.v20.i39.14338
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The use of laparoscopy has been established in improving perioperative and postoperative outcomes for patients with simple appendicitis. Laparoscopic appendectomy is associated with less wound pain, less wound infection, a shorter hospital stay, and faster overall recovery when compared to the open appendectomy for uncomplicated cases. In the past two decades, the use of laparoscopy for the treatment of perforated appendicitis to take the advantages of minimally invasiveness has increased. This article reviewed the prevalence, approaches, safety disclaimers, perioperative and postoperative outcomes of the laparoscopic appendectomy in the treatment of patients with perforated appendicitis. Special issues including the conversion, interval appendectomy, laparoscopic approach for elderly or obese patient are also discussed to define the role of laparoscopic treatment for patients with perforated appendicitis. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.
引用
收藏
页码:14338 / 14347
页数:10
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