*Department of Surgery, Skåne University Hospital, Lund, Sweden †Department of Surgery, Skåne University Hospital, Malmö, Sweden.
Ann Surg. 2014 Jun;259(6):1173-7. doi: 10.1097/SLA.0000000000000322.
The aim of the present study was to compare the frequency of readmissions due to small bowel obstruction (SBO) after open versus laparoscopic surgery performed for suspected acute appendicitis.
Appendicitis is a common disease, with a lifetime risk of approximately 7%. Appendectomy is the treatment of choice for most patients. Postoperative adhesions are common after abdominal surgery, including appendectomy.
Consecutive patients, 16 years or older, operated on because of suspected appendicitis at 2 university hospitals between 1992 and 2007 were included. The prime approach was open at one hospital and laparoscopic at the other hospital. Open and laparoscopic procedures were compared retrospectively, reviewing the patients' charts until the middle of 2012. Hospitalization for SBO after index surgery was registered.
A total of 2333 patients in the open group and 2372 patients in the laparoscopic group were included. The frequency of hospitalization for SBO was low in both groups, although a difference between the groups was identified (1.0% in the open group and 0.4% in the laparoscopic group) (P = 0.015).
Hospitalization due to SBO, between open and laparoscopic procedures, in patients operated on because of suspected appendicitis demonstrated a significant difference, favoring the laparoscopic approach. The frequency of SBO after the index surgery was, though, low in both groups.
本研究旨在比较因疑似急性阑尾炎而行开放手术与腹腔镜手术治疗后小肠梗阻（SBO）再入院的频率。
阑尾炎是一种常见疾病，终生风险约为 7%。大多数患者的治疗选择是阑尾切除术。腹部手术后，包括阑尾切除术，都会出现常见的粘连。
连续纳入 1992 年至 2007 年间在 2 所大学医院因疑似阑尾炎而行手术的 16 岁及以上患者。一家医院的主要方法是开放，另一家是腹腔镜。回顾性比较开放和腹腔镜手术，直到 2012 年年中复查患者病历。记录指数手术后因 SBO 住院的情况。
开放组共有 2333 例患者，腹腔镜组 2372 例患者。两组 SBO 住院的频率都较低，但组间存在差异（开放组 1.0%，腹腔镜组 0.4%）（P = 0.015）。
因疑似阑尾炎而行开放和腹腔镜手术的患者中，SBO 的住院治疗存在显著差异，腹腔镜手术更具优势。但两组的 SBO 发生率都较低。
