[Application of videolaparoscopy methods in the diagnostics and treatment of acute appendicitis].
The article describes an experience of the diagnostics and treatment of 550 patients who were hospitalized with acute appendicitis. Diagnostic laparoscopy was performed for 200 patients with acute appendicitis as a presumptive diagnosis. 350 patients underwent laparoscopic appendectomy. It was possible to avoid ineffective laparotomy in the course of diagnostic laparoscopy in 88% of patients with unclear symptoms of acute appendicitis, and to establish other acute diseases of the abdominal cavity in 12% of cases. Laparoscopic appendectomy can be performed practically at any form of appendix inflammation. It is better to carry out laparoscopic appendectomy using the clip method, and to treat the mesoappendix by monocoagulation.
Nekrasov
A Iu
AIu
D000293:Adolescent; D000328:Adult; D000368:Aged; D001062:Appendectomy / Q000379:methods*; D001064:Appendicitis / Q000175:diagnosis* / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D020535:Video-Assisted Surgery / Q000379:methods*