腹腔镜与开腹阑尾切除术治疗急性阑尾炎：一项随机前瞻性研究。
Laparoscopic versus open appendectomy in acute appendicitis: a randomized prospective study.
作者信息
Olmi S, Magnone S, Bertolini A, Croce E
机构信息
Second Department of General Surgery, Centre for Minimally Invasive Surgery, Ospedale san Gerardo, Via Donizetti 106, Monza, MI, 20052, Italy.
出版信息
Surg Endosc. 2005 Sep;19(9):1193-5. doi: 10.1007/s00464-004-2165-8. Epub 2005 Jul 28.
BACKGROUND
Laparoscopic appendectomy is a safe and effective procedure, as both a diagnostic and therapeutic tool. It seems to be more effective than the corresponding open procedure. Aim of this study is to evaluate a group of patients randomly allocated either to laparoscopic appendectomy (LA) or to open appendectomy (OA).
METHODS
From January 1998 to December 2002, 252 consecutive and nonselected patients, 155 women and 97 men, were randomized either to LA or OA. Recorded data were operative time, postoperative length, of stay and complications.
RESULTS
Mean operative time was 45 min (range 30-120) for OA and 36 min (25-60) for LA, mean postoperative stay was 5.5 days (4-12) for OA and 3.4 days (2-8) for LA. Complication occurred in 20 patients (14.5%) for OA and in four patients (2.6%) for LA.
CONCLUSION
We believe that LA is effective in any kind of clinical situation, with low traumatic impact and best comfort for the patient.
背景
腹腔镜阑尾切除术作为一种诊断和治疗手段，是一种安全有效的手术。它似乎比相应的开放手术更有效。本研究的目的是评估一组随机分配接受腹腔镜阑尾切除术（LA）或开放阑尾切除术（OA）的患者。
方法
从1998年1月至2002年12月，252例连续且未经筛选的患者（155例女性和97例男性）被随机分为LA组或OA组。记录的数据包括手术时间、术后住院时间和并发症。
结果
OA组的平均手术时间为45分钟（范围30 - 120分钟），LA组为36分钟（25 - 60分钟）；OA组的平均术后住院时间为5.5天（4 - 12天），LA组为3.4天（2 - 8天）。OA组有20例患者（14.5%）发生并发症，LA组有4例患者（2.6%）发生并发症。
结论
我们认为LA在任何临床情况下都是有效的，对患者的创伤小且舒适度高。
Zotero 插件