Evidenz für chirurgische Standardverfahren
Standard
Evidenz für chirurgische Standardverfahren : Appendizitis, Divertikulitis und Cholezystitis. / Tachezy, M; Izbicki, J R.
in: CHIRURG, Jahrgang 90, Nr. 5, 05.2019, S. 351-356.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Review › Forschung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Evidenz für chirurgische Standardverfahren
T2 - Appendizitis, Divertikulitis und Cholezystitis
AU - Tachezy, M
AU - Izbicki, J R
PY - 2019/5
Y1 - 2019/5
N2 - 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.
AB - 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.
KW - Acute Disease
KW - Appendicitis/surgery
KW - Cholecystitis/surgery
KW - Diverticulitis/surgery
KW - Humans
KW - Prospective Studies
U2 - 10.1007/s00104-018-0779-y
DO - 10.1007/s00104-018-0779-y
M3 - SCORING: Review
C2 - 30635701
VL - 90
SP - 351
EP - 356
JO - CHIRURG
JF - CHIRURG
SN - 0009-4722
IS - 5
ER -