Interval routine appendectomy following conservative treatment of acute appendicitis: Is it really needed?  

作　　者：George H Sakorafas Dimitrios Sabanis Christos Lappas Aikaterini Mastoraki John Papanikolaou Charalambos Siristatidis Vasileios Smyrniotis 

机构地区：4th Department of Surgery, Athens University, Medical School, Attikon University Hospital, GR-115 26 Athens, Greece Department of Gastroenterology, Athens University, Medical School, Attikon University Hospital, GR-115 26 Athens, Greece Department of Obstetrics and Gynecology, Athens University, Medical School, Attikon University Hospital, GR-115 26 Athens, Greece

出　　处：《World Journal of Gastrointestinal Surgery》2012年第4期83-86,共4页世界胃肠外科杂志（英文版）（电子版）

摘　　要：Conservative management of acute appendicitis (AA) is gradually being adopted as a valuable therapeutic choice in the treatment of selected patients with AA. This approach is based on the results of many recent studies indicating that it is a valuable and effective alternative to routine emergency appendectomy. Existing data do not support routine interval appendectomy following successful conservative management of AA; indeed, the risk of recurrence is low. Moreover, recurrences usually exhibit a milder clinical course compared to the first episode of AA. The role of routine interval appendectomy is also questioned recently, even in patients with AA complicated by plastron or localized abscess formation. Surgical judgment is required to avoid misdiagnosis when selecting a conservative approach in patients with a presumed “appendiceal” mass. Conservative management of acute appendicitis (AA) is gradually being adopted as a valuable therapeutic choice in the treatment of selected patients with AA. This approach is based on the results of many recent studies indicating that it is a valuable and effective alternative to routine emergency appendectomy. Existing data do not support routine interval appendectomy following successful conservative management of AA; indeed, the risk of recurrence is low. Moreover, recurrences usually exhibit a milder clinical course compared to the first episode of AA. The role of routine interval appendectomy is also questioned recently, even in patients with AA complicated by plastron or localized abscess formation. Surgical judgment is required to avoid misdiagnosis when selecting a conservative approach in patients with a presumed 'appendiceal' mass.

关 键 词：APPENDICITIS Surgery Antibiotics INTERVAL APPENDICECTOMY PLASTRON ABSCESS 

分 类 号：R656.8[医药卫生—外科学]