Minutolo Vincenzo, Gagliano Giuseppe, Minutolo Orazio, Carnazza Maurizio, La Terra Salvatore, Buttafuoco Alessandro, Dipietro Salvatore, Lanteri Raffaele
Department of Surgical Sciences, Organ Transplantation and Advanced Technologies, University of Catania.
Chir Ital. 2009 Sep-Dec;61(5-6):591-6.
The advantages and applications of the videolaparoscopic technique (VL) versus open surgery in the treatment of acute and complicated appendicitis are not well defined. The aim of this study was to identify which of the two procedures is more suitable. The study examined 124 patients, 73 females (57.5%) and 51 males (42.5%). We compared 62 patients in the laparoscopic group with 62 open surgery patients. We analysed the results of the two groups (VL, open) for age, gender, operative time, hospital stay, complications and costs. The mean patient age was 24.1 years (range: 4-70). The conversion rate was 1.6% (1 case/62). The patients in the laparoscopic group were predominantly female (p < 0.0001). The average age of VL patients compared to open surgery was significantly higher (p < 0.01). The mean operative time was not significantly different between the two groups. The hospitalisation time was shorter for the laparoscopic group (4.77 vs. 6.39 days, p < 0.01). Complications were 0% for VL and 4.81% for the open group. The average operation cost in the open group was 8070.00 euros (+/- 4267) and 6818.00 euros (+/- 1446,00) for VL (p < 0.05). Laparoscopic appendectomy has significant advantages over traditional open surgery and should be the first choice in cases of acute but uncomplicated appendicitis.
在治疗急性复杂性阑尾炎方面，视频腹腔镜技术（VL）与开放手术相比的优势及应用尚未明确界定。本研究的目的是确定这两种手术方式哪种更合适。该研究对124例患者进行了检查，其中女性73例（57.5%），男性51例（42.5%）。我们将腹腔镜组的62例患者与62例接受开放手术的患者进行了比较。我们分析了两组（VL组、开放手术组）在年龄、性别、手术时间、住院时间、并发症及费用方面的结果。患者的平均年龄为24.1岁（范围：4 - 70岁）。中转率为1.6%（1例/62例）。腹腔镜组患者以女性为主（p < 0.0001）。与开放手术相比，VL组患者的平均年龄显著更高（p < 0.01）。两组的平均手术时间无显著差异。腹腔镜组的住院时间较短（4.77天对6.39天，p < 0.01）。VL组的并发症发生率为0%，开放手术组为4.81%。开放手术组的平均手术费用为8070.00欧元（±4267），VL组为6818.00欧元（±1446.00）（p < 0.05）。腹腔镜阑尾切除术相对于传统开放手术具有显著优势，在急性非复杂性阑尾炎病例中应作为首选。
