Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2019
[Evidence for standard surgical procedures: appendicitis, diverticulitis and cholecystitis].
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Tachezy M, Izbicki J R
Аннотация
BACKGROUND: Acute appendicitis, cholecystitis and sigmoid diverticulitis are the most common inflammatory visceral surgical emergencies. According to the principles of evidence-based medicine, treatment methods and surgical indications should be constantly questioned and validated by high-quality clinical studies.
OBJECTIVE: To identify and classify the current evidence on surgical treatment of acute appendicitis, cholecystitis and sigmoid diverticulitis.
MATERIAL AND METHODS: Targeted literature search in Medline, the Cochrane Library and study registers (clinicaltrials.gov).
RESULTS AND CONCLUSION: The indications for surgery are changing due to increasing numbers of high-quality clinical studies. Conservative treatment seems to be feasible in the early stages. In contrast, many surgical steps have not yet been sufficiently validated. Furthermore, there is a great need for high-quality, prospective randomized clinical trials, so that promotion of studies and the study culture in surgery should continue to be of greatest interest.
OBJECTIVE: To identify and classify the current evidence on surgical treatment of acute appendicitis, cholecystitis and sigmoid diverticulitis.
MATERIAL AND METHODS: Targeted literature search in Medline, the Cochrane Library and study registers (clinicaltrials.gov).
RESULTS AND CONCLUSION: The indications for surgery are changing due to increasing numbers of high-quality clinical studies. Conservative treatment seems to be feasible in the early stages. In contrast, many surgical steps have not yet been sufficiently validated. Furthermore, there is a great need for high-quality, prospective randomized clinical trials, so that promotion of studies and the study culture in surgery should continue to be of greatest interest.