Appendiceal stump abscess as an early complication of laparoscopic appendectomy: Report of a case

被引:13
作者
Chikamori, F
Kuniyoshi, N
Shibuya, S
Takase, Y
机构
[1] Kuniyoshi Hosp, Kochi Clin Gastroenterol Study Grp, Kochi 7800901, Japan
[2] Kuniyoshi Hosp, Dept Surg, Kochi 7800901, Japan
[3] Kuniyoshi Hosp, Dept Internal Med, Kochi 7800901, Japan
[4] Tsukuba Soai Hosp, Dept Surg, Ibaraki 3001245, Japan
关键词
appendiceal stump abscess; laparoscopic appendectomy;
D O I
10.1007/s005950200182
中图分类号
R61 [外科手术学];
学科分类号
摘要
We report the case of an appendiceal stump abscess that was treated by relaparoscopy 4 days after a laparoscopic appendectomy (LA). Surgeons should be aware of the possibility of appendiceal stump abscess occurring as an early complication of LA. When performing LA, the appendiceal stump should be as short as possible, and the ligation of the root of the appendix should be only moderately tight, so as not to cause ischemic change of the stump, indicated by discoloration or edema. The insertion of a drain for monitoring exudate, as well as sonography, and relaparoscopy are helpful for diagnosing and treating this complication.
引用
收藏
页码:919 / 921
页数:3
相关论文
共 13 条
[1]  
Chiarugi M, 1996, EUR J SURG, V162, P385
[2]   Laparoscopic appendectomy with the help of a wire snare [J].
Chikamori, F ;
Kuniyoshi, N ;
Shibuya, S ;
Takase, Y .
SURGERY TODAY, 2001, 31 (06) :560-563
[3]  
delaPalavesa MMF, 1996, ABDOM IMAGING, V21, P65
[4]  
FRITTS LL, 1993, ARCH SURG-CHICAGO, V128, P521
[5]   Laparoscopic versus open appendectomy: A metaanalysis [J].
Golub, R ;
Siddiqui, F ;
Pohl, D .
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 1998, 186 (05) :545-553
[6]   Laparoscopic appendectomy is an acceptable alternative for the treatment of perforated appendicitis [J].
Johnson, AB ;
Peetz, ME .
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1998, 12 (07) :940-943
[7]   ENDOSCOPIC APPENDECTOMY IN CHILDHOOD - TECHNICAL ASPECTS [J].
KELLNAR, S ;
TRAMMER, A ;
TILL, H ;
LOCHBUHLER, H .
EUROPEAN JOURNAL OF PEDIATRIC SURGERY, 1994, 4 (06) :341-343
[8]   REVIEW OF 47 LAPAROSCOPIC APPENDECTOMIES [J].
LUEKEN, RP ;
MOELLER, CP ;
HEECKT, B ;
SCHAEFER, C .
JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS, 1995, 2 (03) :269-272
[9]   Laparoscopic versus open appendectomy: A prospective randomized trial [J].
Macarulla, E ;
Vallet, J ;
Abad, JM ;
Hussein, H ;
Fernandez, E ;
Nieto, B .
SURGICAL LAPAROSCOPY & ENDOSCOPY, 1997, 7 (04) :335-339
[10]  
Panton ON, 1996, AM J SURG, V171, P538