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Trends in the Diagnosis and Treatment of Acute Appendicitis Hisanaga Horie 1,2 , Iku Abe 1 , Taro Fukui 1 , Fumi Hasegawa 1 , Hirofumi Imoto 1 , Junichi Sasaki 1 , Shingo Tsujinaka 1 , Osamu Takada 1 , Toshiki Rikiyama 1 , Hiroyuki Maruyama 2 , Yoshikazu Yasuda 2 1Department of Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan 2Department of Surgery, Jichi Medical University, Shimotsuke, Japan Keyword: 腹腔鏡下虫垂切除術 , delayed appendectomy , interval appendectomy , 非穿孔性虫垂炎 pp.500-507
Published Date 2014/4/25
DOI https://doi.org/10.11477/mf.1403114121
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 Physical examination is emphasized in the diagnosis of acute appendicitis and emergency surgery is considered to be the standard treatment. Recently, treatment of acute appendicitis has diversified because of advances in imaging and antibiotics, in addition to increased use of laparoscopic surgery. Non-operative therapy, delayed appendectomy, and interval appendectomy have become widely accepted for patients with non-perforated appendicitis. Establishing a diagnosis of appendicitis during pregnancy or in elderly patients is difficult. Therefore, in those patients, it is important to base the diagnosis using appropriate imaging study findings and proceed to immediate appendectomy, to avoid peritonitis.


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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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