Have the evaluation and treatment of acute appendicitis changed with new technology?

被引:66
作者
Wilcox, RT [1 ]
Traverso, LW [1 ]
机构
[1] Virginia Mason Med Ctr, Dept Gen Surg, Seattle, WA 98111 USA
关键词
D O I
10.1016/S0039-6109(05)70622-8
中图分类号
R61 [外科手术学];
学科分类号
摘要
Improvement in outcomes has not been demonstrated with routine use of new technology. Newer imaging modalities to assist in the diagnosis of appendicitis are most cost effective when ordered by the surgical consultant. Treatment of acute appendicitis continues to be early surgical intervention, although laparoscopic appendectomy may offer advantages in women of childbearing age and obese individuals. Routine laparoscopic appendectomy is not supported by the current literature.
引用
收藏
页码:1355 / +
页数:17
相关论文
共 72 条
[1]  
Adalla SA, 1996, BRIT J CLIN PRACT, V50, P168
[2]   Appendicitis in children in the managed care era [J].
Adolph, VR ;
Falterman, KW .
JOURNAL OF PEDIATRIC SURGERY, 1996, 31 (08) :1035-1036
[3]   A PRACTICAL SCORE FOR THE EARLY DIAGNOSIS OF ACUTE APPENDICITIS [J].
ALVARADO, A .
ANNALS OF EMERGENCY MEDICINE, 1986, 15 (05) :557-564
[4]  
AMGWERD M, 1994, LANGENBECK ARCH CHIR, V379, P335
[5]   ACUTE APPENDICITIS - CT AND US CORRELATION IN 100 PATIENTS [J].
BALTHAZAR, EJ ;
BIRNBAUM, BA ;
YEE, J ;
MEGIBOW, AJ ;
ROSHKOW, J ;
GRAY, C .
RADIOLOGY, 1994, 190 (01) :31-35
[6]  
BLAIR NP, 1993, AM J SURG, V165, P618
[7]  
BONANNI F, 1994, J AM COLL SURGEONS, V179, P273
[8]   PERITONEAL ASPIRATION CYTOLOGY AS A DIAGNOSTIC-AID IN ACUTE APPENDICITIS [J].
CALDWELL, MTP ;
WATSON, RGK .
BRITISH JOURNAL OF SURGERY, 1994, 81 (02) :276-278
[9]  
CONNOR TJ, 1995, AM SURGEON, V61, P187
[10]   Prospective randomized comparison of open versus laparoscopic appendectomy in men [J].
Cox, MR ;
McCall, JL ;
Toouli, J ;
Padbury, RTA ;
Wilson, TG ;
Wattchow, DA ;
Langcake, M .
WORLD JOURNAL OF SURGERY, 1996, 20 (03) :263-266