PDF(Pubmed)
Abstract：
Acute appendicitis is a common surgical emergency. It is commonly caused by obstruction of the appendiceal lumen due to fecaliths, tumors, or lymphoid hyperplasia. For over a century, appendectomy has been the primary treatment for acute appendicitis. Abraham Groves performed the first open appendectomy in 1883. In 1983, Kurt Semm completed the first laparoscopic appendectomy, heralding a new era in appendectomy. However, appendectomy is associated with certain complications and a rate of negative appendectomies. Studies have suggested controversy over the impact of appendectomy on the development of inflammatory bowel disease and Parkinson\'s disease, but an increasing number of studies indicate a possible positive correlation between appendectomy and colorectal cancer, gallstones, and cardiovascular disease. With the recognition that the appendix is not a vestigial organ and the advancement of endoscopic te-chnology, Liu proposed the endoscopic retrograde appendicitis therapy. It is an effective minimally invasive alternative for treating uncomplicated acute appendicitis. Our team has developed an appendoscope with a disposable digital imaging system operated through the biopsy channel of a colonoscope and successfully applied it in the treatment of appendicitis. This article provides an overview of the progress in endoscopic treatment for acute appendicitis and offers a new perspective on the future direction of appendiceal disease treatment.
摘要：
急性阑尾炎是常见的外科急症。它通常是由于生殖细胞引起的阑尾腔阻塞引起的，肿瘤，或者淋巴增生.一个多世纪以来,阑尾切除术一直是急性阑尾炎的主要治疗方法。亚伯拉罕·格罗夫斯于1883年进行了第一次开腹阑尾切除术。1983年KurtSemm完成了第一次腹腔镜阑尾切除术,预示着阑尾切除术的新时代。然而,阑尾切除术与某些并发症和阑尾切除术阴性率相关。研究表明，关于阑尾切除术对炎症性肠病和帕金森病发展的影响存在争议，但是越来越多的研究表明阑尾切除术和结直肠癌之间可能存在正相关,胆结石,和心血管疾病。认识到阑尾不是一个遗留的器官和内窥镜技术的进步，Liu提出了内镜下逆行性阑尾炎的治疗方法。它是治疗单纯性急性阑尾炎的有效微创替代方法。我们的团队开发了一种具有一次性数字成像系统的阑尾镜，该系统通过结肠镜的活检通道进行操作，并成功地将其应用于阑尾炎的治疗。本文就急性阑尾炎的内镜治疗进展作一综述,为阑尾疾病的未来治疗方向提供新的视角。
