Appendiceal mass:Is interval appendicectomy “something of the past” ?

作     者：Abdul-Wahed Nasir Meshikhes 

作者机构：Department of SurgeryKing Fahad Specialist Hospital 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2011年第17卷第25期

页      面：2977-2980页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Appendiceal mass Cost-effectiveness Interval appendicectomy Laparoscopic appendicectomy 

摘      要：The need for interval appendicectomy (I.A) after successful conservative management of appendiceal mass has recently been ***,emergency appendicectomy for appendiceal mass is increasingly performed with equal success and safety to that performed in non-mass forming acute *** is an increasing volume of evidence-although mostly retrospective-that if traditional conservative management is adopted,there is no need for routine I.A except for a small number of patients who continue to develop recurrent *** the other hand,the routine adoption of emergency laparoscopic appendicectomy (LA) in patients presenting with appendiceal mass obviates the need for a second admission and an operation for I.A with a considerable complication *** also abolishes misdiagnoses and deals promptly with any unexpected ileo-cecal ***,it may prove to be more cost-effective than conservative treatment even without I.A due to a much shorter hospital stay and a shorter period of intravenous antibiotic *** emergency LA is to become the standard of care for appendiceal mass,I.A will certainly become something of the past.