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PubMed · 8898439

Laparoscopic surgery.

P C Bornman
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Abstract

The introduction of video assisted laparoscopic surgery in 1987 signalled the beginning of a new era in surgery, and together with interventional endoscopy and radiology has broadened the scope of minimal access therapy and improved the multidisciplinary management of complex diseases in gastroenterology. The unprecedented enthusiasm for laparoscopic surgery and the overwhelming demands for the training of qualified surgeons to acquire the laparoscopic skills resulted in a compromise of traditional graduated teaching principles in surgery. A phase of consolidation has now been entered where academic centres are in the process of evaluating the application of minimal access surgery in a controlled fashion. This review will examine the current role of laparoscopic surgery in common gastrointestinal conditions.

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AppendicitisCholecystectomy, LaparoscopicCholelithiasisGastroesophageal RefluxGastrointestinal DiseasesGastrointestinal NeoplasmsHumansLaparoscopyMinimally Invasive Surgical ProceduresPalliative CarePeptic UlcerJournal ArticleReview

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BibTeXRIS

P C Bornman. 1996. Laparoscopic surgery.. https://doi.org/10.3109/00365529609094753

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Optimizing US examination to detect the normal and abnormal appendix in children.

BACKGROUND: US detection of a normal appendix can safely rule out appendicitis. However, there is a wide range of accuracy in detection of a normal appendix. OBJECTIVE: To optimize US examination to detect the normal and the abnormal appendix according to the potential positions of the appendix. MATERIALS AND METHODS: This prospective study included 107 children who underwent gray-scale US scanning. Noncompressive and compressive graded sonography was performed to detect normal and abnormal appendices according to their potential positions. The maximum transverse diameter of the appendices was measured. RESULTS: Of the 107 children examined, 56 had a histologic diagnosis of acute appendicitis. Sonography had a sensitivity of 100% and specificity of 98% for the diagnosis of appendicitis. A normal appendix was visualized in 44 (86.2%) of the 51 patients without acute appendicitis, and of these 44, 43 were true-negative and 1 was false-positive. Normal and abnormal appendices, respectively, were positioned as follows: 54.4% and 39.3% were mid-pelvic; 27.2% and 28.6% were retrocecal; 11.4% and 17.8% were deep pelvic; and 6.8% and 14.3% were abdominal. CONCLUSION: US scanning according to the potential positions of the appendix was useful in the detection of normal appendices in children suspected of having appendicitis.

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