Lin Heng-Fu, Wu Jiann-Ming, Tseng Li-Ming, Chen Kuo-Hsin, Huang Shih-Horng, Lai I-Rue
Department of Surgery, Far-Eastern Memorial Hospital, Taipei, Taiwan, Republic of China.
J Gastrointest Surg. 2006 Jun;10(6):906-10. doi: 10.1016/j.gassur.2005.12.012.
The role of laparoscopic appendectomy (LA) for perforated appendicitis is under investigation. A retrospective study was conducted to compare the outcomes of laparoscopic versus open appendectomy (OA) for perforated appendicitis. From January 2001 through December 2003, 229 patients with perforated appendicitis were treated at Far-Eastern Memorial Hospital. LA was successfully completed in 91 of 99 patients. OA was performed in 130 patients. Operation time was longer in the LA group (mean +/- SD = 96.1 +/- 43.1 vs. 67.8 +/- 32.2 minutes, P < 0.01). Return of oral intake was faster in the LA group (3.2 +/- 2.4 vs. 5.0 +/- 7.0 days, P < 0.01). The intravenous antibiotic usage period was shorter in the LA group (4.4 +/- 2.8 vs. 6.3 +/- 7.1 days, P < 0.01). The postoperative wound infection rates were 15.2 % (LA group) and 30.7% (OA group). The overall infectious complication rates were 19% in the LA group and 37% in the OA group (P < 0.01). Hospital stay days were shorter for the LA group (6.3 +/- 2.9 vs. 9.3 +/- 8.6 days, P < 0.01). Our results indicated that laparoscopic appendectomy is a safe and effective procedure for treating patients with perforated appendicitis.
腹腔镜阑尾切除术（LA）在治疗穿孔性阑尾炎中的作用正在研究中。进行了一项回顾性研究，以比较腹腔镜与开腹阑尾切除术（OA）治疗穿孔性阑尾炎的效果。2001年1月至2003年12月期间，远东纪念医院共治疗了229例穿孔性阑尾炎患者。99例患者中91例成功完成了LA。130例患者接受了OA。LA组的手术时间更长（平均±标准差=96.1±43.1对67.8±32.2分钟，P<0.01）。LA组的经口进食恢复更快（3.2±2.4对5.0±7.0天，P<0.01）。LA组的静脉抗生素使用期更短（4.4±2.8对6.3±7.1天，P<0.01）。术后伤口感染率在LA组为15.2%，在OA组为30.7%。LA组的总体感染并发症发生率为19%，OA组为37%（P<0.01）。LA组的住院天数更短（6.3±2.9对9.3±8.6天，P<0.01）。我们的结果表明，腹腔镜阑尾切除术是治疗穿孔性阑尾炎患者的一种安全有效的方法。
