[Videolaparoscopy for suspected acute appendicitis].

Abstract

Results of videolaparoscopy for suspected acute appendicitis are analyzed in 2165 patients (729 men and 1373 women) aged from 15 through 92 years. The diagnosis of acute appendicitis was excluded in 23.6% of men and 54.5% of women. Disagreement between the clinical and laparoscopic diagnoses took place more often in women aged younger than 20 and older than 70, and in men - younger than 20 and older than 50. Other diseases were found resembling acute appendicitis which required urgent operative treatment in half of the cases. In 88.7% of the observations the laparoscopic method was used. Laparoscopy resulted in sharply decreased number of appendectomies in patients with catarrhal (0.3%) and secondary (0.3%) appendicitis. The sensitivity of the videolaparoscopic method of diagnosing acute appendicitis was 98.7%, specificity - 91.1%, exactness - 95.9%.