Value of the abdominal endoscopy in the diagnosis of the acute appendicitis

ABSTRACT

Advance study on 50 patients (male22; female 28) with appendicitis in the army central hospital 108 during 8/1999-8/2000. The patients received the abdominal endoscopy before operation, ages of 36,42+/- 18,62 oldest 74, youngest9. 46/50(92%) patients with the positive cytopathological diagnosis and 4/50 (8%) with the negative cytopathological diagnosis. These 4 patients were women. 3/4 patients diagnosed as cystic rupture of digraph, 1/4 received negative appendectomy. The correct clinical rate of diagnosis was 92%. The correct rate of laparoscopic diagnosis was 49/50= 98%, the sensitivity 100%, the specificity 75%. That reported that the laparoscopy(endoscopy) is very important method of diagnosis that reduces significantly the rate of the negative appendectomy.