Abstract：
OBJECTIVE: The aim of this study was to investigate the safety and efficacy of appendicoscopy using a single-operator cholangioscope (SOC) for the management of acute obstructive appendicitis.
METHODS: This study describes 110 cases of acute obstructive appendicitis managed with the use of appendicoscopy between January 2021 and June 2023. The success rate (technical + clinical), procedure time, time to abdominal pain relief according to a visual analog scale score, postoperative length of hospital stay, and adverse event rates were recorded and analyzed.
RESULTS: The technical success rate of appendicoscopy was 96.4%, and the clinical success rate was 91.8%. The mean ± standard deviation procedure time was 20.9 ± 10 minutes. The abdominal pain score at 6 hours after the procedure was ≤3 (visual analog scale method) in 99.1% of patients. The average length of postoperative hospital stay was 3.5 ± 1.5 days. No adverse events occurred.
CONCLUSIONS: Appendicoscopy seems to be a feasible and effective alternative therapy for the accurate diagnosis and treatment of acute obstructive appendicitis.
METHODS: This study describes 110 cases of acute obstructive appendicitis managed with the use of appendicoscopy between January 2021 and June 2023. The success rate (technical + clinical), procedure time, time to abdominal pain relief according to a visual analog scale score, postoperative length of hospital stay, and adverse event rates were recorded and analyzed.
RESULTS: The technical success rate of appendicoscopy was 96.4%, and the clinical success rate was 91.8%. The mean ± standard deviation procedure time was 20.9 ± 10 minutes. The abdominal pain score at 6 hours after the procedure was ≤3 (visual analog scale method) in 99.1% of patients. The average length of postoperative hospital stay was 3.5 ± 1.5 days. No adverse events occurred.
CONCLUSIONS: Appendicoscopy seems to be a feasible and effective alternative therapy for the accurate diagnosis and treatment of acute obstructive appendicitis.
摘要：
目的：本研究的目的是探讨使用单操作胆道镜检查（SOC）治疗急性阻塞性阑尾炎的安全性和有效性。
方法：我们描述了2021年1月至2023年6月之间通过阑尾镜检查治疗的110例急性阻塞性阑尾炎。成功率（技术+临床），程序时间,使用视觉模拟评分（VAS）缓解腹痛的时间，术后住院时间,记录并分析并发症发生率。
结果：阑尾镜的技术成功率为96.4%；临床成功率为91.8%。平均操作时间为20.9±10分钟(标准偏差[SD])。99.1%的患者术后6小时腹痛评分≤3分(VAS法)。术后平均住院时间为3.5±1.5天。无不良事件发生。
结论：阑尾镜检查似乎是准确诊断和治疗急性阻塞性阑尾炎的可行和有效的替代疗法。
方法：我们描述了2021年1月至2023年6月之间通过阑尾镜检查治疗的110例急性阻塞性阑尾炎。成功率（技术+临床），程序时间,使用视觉模拟评分（VAS）缓解腹痛的时间，术后住院时间,记录并分析并发症发生率。
结果：阑尾镜的技术成功率为96.4%；临床成功率为91.8%。平均操作时间为20.9±10分钟(标准偏差[SD])。99.1%的患者术后6小时腹痛评分≤3分(VAS法)。术后平均住院时间为3.5±1.5天。无不良事件发生。
结论：阑尾镜检查似乎是准确诊断和治疗急性阻塞性阑尾炎的可行和有效的替代疗法。
