Sucullu Ilker, Filiz Ali Ilker, Canda Aras Emre, Yucel Ergun, Kurt Yavuz, Yildiz Mehmet
Department of Surgery, Gulhane Military Medical Academy, Haydarpasa Training Hopital, Istanbul, Turkey.
Surg Laparosc Endosc Percutan Tech. 2009 Oct;19(5):401-4. doi: 10.1097/SLE.0b013e3181bb8db7.
Minimally invasive techniques, such as laparoscopic appendectomy (LA), are thought to produce better cosmetic results. The aim of this study was to evaluate the body image and cosmesis of patients after both LA and open appendectomy (OA).
Between August 2007 and June 2008, patients who underwent LA or OA with the diagnosis of acute appendicitis were invited to participate in the study by filling out the body image questionnaire. Patients with OA who had the Rockey-Davis incision and LA patients who had the operation by 3 trocars (10-mm infraumbilical, 5-mm suprapubic and additional 10 mm left lower quadrant), were included in the study.
A total of 38 patients (20 LA, 18 OA) participated in the study. The mean incision size for OA was 3.2 cm (range, 2 to 6 cm), and the mean scores from the body image questionnaire (both body image scale and cosmetic scale) were similar for both groups (P>0.05). No significant complications or changes in self-confidence (preoperative vs. postoperative) were observed in either group (P>0.05).
To our knowledge, there is no study in the literature that evaluates body image and cosmesis using objective methods for LA. Our results showed that LA has no advantage for body image and cosmesis over OA. Furthermore, prospective studies using different tools with a larger sample size are needed to rationalize the use of laparoscopy for appendectomy.
诸如腹腔镜阑尾切除术（LA）等微创技术被认为能产生更好的美容效果。本研究的目的是评估接受LA和开腹阑尾切除术（OA）的患者的身体形象和美容效果。
在2007年8月至2008年6月期间，邀请诊断为急性阑尾炎并接受LA或OA的患者填写身体形象问卷以参与研究。采用Rockey-Davis切口的OA患者以及通过3个套管针（10毫米脐下、5毫米耻骨上和额外的10毫米左下腹）进行手术的LA患者被纳入研究。
共有38名患者（20名LA，18名OA）参与了研究。OA的平均切口大小为3.2厘米（范围为2至6厘米），两组的身体形象问卷（身体形象量表和美容量表）的平均得分相似（P>0.05）。两组均未观察到明显并发症或自信心（术前与术后）的变化（P>0.05）。
据我们所知，文献中尚无使用客观方法评估LA患者身体形象和美容效果的研究。我们的结果表明，LA在身体形象和美容效果方面并不优于OA。此外，需要使用不同工具并以更大样本量进行前瞻性研究，以合理化腹腔镜阑尾切除术的应用。
