Kassi Assamoi B F, Yenon K S, Lebeau R, Traore M, Akpa-Bedi E, Kouassi J C
Service de Chirurgie Viscérale et Digestive, C.H.U. de Cocody, Abidjan, Côte d'Ivoire.
Rev Med Brux. 2010 Nov-Dec;31(6):509-12.
The appendectomies for acute appendicitis are the most frequent surgical interventions (43.6%) in our service. The recent studies demonstrated the feasibility and the economical gain of the early oral feeding vs. classic oral feeding, after elective digestive surgery. We wanted to spread these results therefore to the appendectomy for acute appendicitis. It is about a prospective survey carrying on 110 patients also left in two groups, and comparing the classic postoperative oral feeding vs. the early postoperative oral feeding on one year. The two groups were comparable and the studied parameters were : the length of the postoperative ileus, the hospitable morbidity, the length of the hospitalization and the cost of the hold in charge. The length of the postoperative ileus was not different in the two groups as well as the morbidity. The difference of the median length of hospitalization in the two groups was not meaningful. The cost of the hold in charge was meaningfully more elevated in the group with classic postoperative feeding. In conclusion, the early postoperative oral feeding in our survey doesn't reduce the length of the postoperative ileus and don't drag a morbidity anymore that the classic oral feeding. However if it doesn't shorten the length of the hospitalization, it drags a reduction of the cost of the hold in charge. There is a gain therefore precociously to nourish the patients after appendectomy for acute appendicitis.
阑尾炎切除术是我们科室最常见的外科手术（占43.6%）。最近的研究表明，在择期消化道手术后，早期经口进食与传统经口进食相比具有可行性和经济效益。因此，我们希望将这些结果推广到急性阑尾炎阑尾切除术中。这是一项前瞻性研究，对110例患者进行分组，比较传统术后经口进食与术后早期经口进食一年的情况。两组具有可比性，研究参数包括：术后肠梗阻持续时间、住院期间发病率、住院时间和住院费用。两组的术后肠梗阻持续时间和发病率没有差异。两组住院时间中位数的差异无统计学意义。传统术后进食组的住院费用显著更高。总之，在我们的研究中，术后早期经口进食并没有缩短术后肠梗阻的持续时间，也没有降低发病率，与传统经口进食相同。然而，虽然它没有缩短住院时间，但降低了住院费用。因此，急性阑尾炎阑尾切除术后早期对患者进行营养支持是有益的。
