Department of Surgery, Klinik St, Georg, Lohmuehlenstrasse 05, D-20099 Hamburg, Germany.
BMC Pediatr. 2013 Oct 1;13:154. doi: 10.1186/1471-2431-13-154.
A comparative study was performed to compare quality of life after laparoscopic and open appendectomy in children and adolescents in a German General Hospital. The same study population was re-evaluated regarding their quality of life several years after operation.
Children and adolescents (n = 158) who underwent appendectomy for acute appendicitis between 1999 and 2001 were retrospectively analysed. Seven years after surgery those patients were interviewed applying a SF-36 questionnaire regarding their quality of life.
For short term outcomes there was a trend towards reduced specific postoperative complications in the laparoscopically operated group (9.3 vs. 10.7%). Significantly more patients in the laparoscopic group would recommend the operation procedure to family members or friends than in the open group. Among the evaluated patients there was a significantly higher satisfaction concerning size and appearance of their scars in the laparoscopic group. The results of the evaluation in the eight categories of the SF-36 showed similar results in both groups.
More patients with laparoscopic appendectomy appeared to be satisfied with their operation method as becomes evident by a higher recommendation rate and a higher satisfaction concerning their scars.
在一家德国综合医院进行了一项比较研究，比较腹腔镜和开腹阑尾切除术治疗儿童和青少年的生活质量。对同一研究人群进行了术后数年的生活质量再评估。
回顾性分析了 1999 年至 2001 年间因急性阑尾炎接受阑尾切除术的儿童和青少年（n=158）。术后 7 年，应用 SF-36 问卷对这些患者进行了生活质量访谈。
在短期结果方面，腹腔镜组术后特定并发症的发生率呈下降趋势（9.3%比 10.7%）。腹腔镜组中有更多的患者愿意向家庭成员或朋友推荐手术，而开腹组则较少。在接受评估的患者中，腹腔镜组对其疤痕的大小和外观的满意度明显更高。SF-36 的八个类别中的评估结果在两组中相似。
更多接受腹腔镜阑尾切除术的患者对其手术方法感到满意，这体现在更高的推荐率和对其疤痕更高的满意度上。
