Shrestha S K, Singh Dongol U M, Thapa P B, Sharma S K
Department of Surgery, Kathmandu Medical College Teaching Hospital, Sinamangal, Kathmandu, Nepal.
J Nepal Health Res Counc. 2010 Oct;8(2):91-4.
Although laparoscopic appendicectomy is now a common practice, it has not become the gold standard like in cholecystectomy. Aim of our study is to compare with operation time and hospital stay found in available literatures.
All laparoscopic appendicectomies performed between January 2004 and February 2009 were retrospectively reviewed for age, sex and operation time length and hospital stay. Appendicitis with signs of perforation was treated by open midline laparatomy and the ones with lump formation were treated conservatively.
A total of 48 patients underwent laparoscopic appendicectomies during this period (female 26 and male 22) and mean age was 27.2 years (6-77). The mean operating time was 56.6 minutes (40-120 minutes). The mean hospital stay was 4.7 days (3-8 days).
Laparoscopic appendicectomy is a feasible and safe in simple appendicitis. Although the number of cases of laparoscopic appendicectomies is a small for five year period, the mean operation time and mean hospital stay is comparable to the literatures.
尽管腹腔镜阑尾切除术目前已较为常见，但它尚未像胆囊切除术那样成为金标准。我们研究的目的是与现有文献中报道的手术时间和住院时间进行比较。
回顾性分析2004年1月至2009年2月期间所有接受腹腔镜阑尾切除术患者的年龄、性别、手术时长和住院时间。有穿孔迹象的阑尾炎采用中线剖腹手术治疗，有肿块形成的则采用保守治疗。
在此期间共有48例患者接受了腹腔镜阑尾切除术（女性26例，男性22例），平均年龄为27.2岁（6 - 77岁）。平均手术时间为56.6分钟（40 - 120分钟）。平均住院时间为4.7天（3 - 8天）。
腹腔镜阑尾切除术对于单纯性阑尾炎是可行且安全的。尽管五年间腹腔镜阑尾切除术的病例数较少，但平均手术时间和平均住院时间与文献报道相当。
