Lee Jong Min, Jang Ji Young, Lee Seung Hwan, Shim Hongjin, Lee Jae Gil
Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Department of Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea.
Yonsei Med J. 2014 Nov;55(6):1606-10. doi: 10.3349/ymj.2014.55.6.1606.
The aim of this study was to evaluate the feasibility of short hospital stays after laparoscopic appendectomy for uncomplicated appendicitis.
The records of 142 patients who underwent laparoscopic appendectomy for uncomplicated appendicitis from January 2010 to December 2012 were analyzed retrospectively. Patients were allocated to an early (<48 hours) or a late (>48 hours) group by postoperative hospital stay. Postoperative complications and readmission rates in the two groups were evaluated and compared.
Overall mean patient age was 50.1 (±16.0) years, and mean hospital stay was 3.8 (±2.8) days. Fifty-four patients (group E, 38.0%) were discharged within 48 hours of surgery, and 88 patients (group L, 62.0%) stayed more than 48 hours. Overall complication rates were similar in the two groups (14.8% vs. 21.6%, p=0.318), and wound complications (13.0% vs. 12.5%), postoperative bowel obstruction (1.9% vs. 2.3%), and abdominal pain (1.9% vs. 3.4%) were not significantly different.
Patients that undergo laparoscopic appendectomy due to uncomplicated appendicitis may be safely discharged within 48 hours. Further study should be conducted to determine the optimal length of hospital stay after laparoscopic appendectomy to reduce hospital costs.
本研究旨在评估单纯性阑尾炎行腹腔镜阑尾切除术后短时间住院的可行性。
回顾性分析2010年1月至2012年12月期间142例行腹腔镜阑尾切除术治疗单纯性阑尾炎患者的病历资料。根据术后住院时间将患者分为早期（<48小时）组和晚期（>48小时）组。对两组术后并发症及再入院率进行评估和比较。
患者总体平均年龄为50.1（±16.0）岁，平均住院时间为3.8（±2.8）天。54例患者（E组，38.0%）在术后48小时内出院，88例患者（L组，62.0%）住院时间超过48小时。两组总体并发症发生率相似（14.8%对21.6%，p = 0.318），伤口并发症（13.0%对12.5%）、术后肠梗阻（1.9%对2.3%）及腹痛（1.9%对3.4%）差异均无统计学意义。
因单纯性阑尾炎行腹腔镜阑尾切除术的患者可在48小时内安全出院。应进一步开展研究以确定腹腔镜阑尾切除术后的最佳住院时间，从而降低住院费用。
