Karaman Erbil, Aras Abbas, Çim Numan, Kolusarı Ali, Kızıltan Remzi, Çelik Sebahattin, Anuk Turgut
Yuzuncu Yil University, faculty of medicine, department of obstetric and gynecology.
Ginekol Pol. 2016;87(2):98-103. doi: 10.17772/gp/58752.
Appendectomy is the most common cause of non-obstetric surgery in pregnant women. Our aim was to compare the clinical characteristics, peri-and post-operative data of pregnant women undergoing either laparoscopic appendectomy (LA) or open appendectomy (OA).
This was a retrospective study of medical records of all pregnant women diagnosed and treated surgically for acute appendicitis at two referral centers of Yuzuncu Yil University Medical Faculty and Kafkas University Medical Faculty, from January 2010 to January 2015.
The study included 48 patients, divided to two groups (12 - LA and 36 - OA). There were no significant differences in demographic characteristics of the studied population, including age, BMI, gestational age at operation, gravidity, parity, and history of cesarean sections. A far as obstetric and fetal outcomes are concerned, no significant differences were found in terms of preterm delivery, fetal loss, delivery mode, birth weight, APGAR score, and maternal death between the two investigated groups. One perioperative complication of intra-abdominal abscess was noted in the OA group. However, the LA group had shorter hospital stay (3.25±2.45 vs. 4.28±3.31, p=0.004), earlier mobilization time (8.1±2.2 vs. 10.1±1.6, p=0.025), and shorter time to first flatus (2.3±0.3 vs. 4.0±1.6, p=0.032) as compared to the OA group. The OA group had statistically shorter operation time than the LA group (38.61±11.5 vs. 49.42±11.38, p=0.007).
LA is related to shorter hospital stay, faster return to daily activities, and shorter time to first flatus. LA appears to be as safe and effective as OA in pregnant patients without increasing adverse perinatal outcomes.
阑尾切除术是孕妇非产科手术最常见的原因。我们的目的是比较接受腹腔镜阑尾切除术（LA）或开腹阑尾切除术（OA）的孕妇的临床特征、围手术期和术后数据。
这是一项对2010年1月至2015年1月在尤祖恩居勒大学医学院和卡法卡斯大学医学院两个转诊中心接受手术诊断和治疗的所有急性阑尾炎孕妇的病历进行的回顾性研究。
该研究纳入了48例患者，分为两组（12例LA组和36例OA组）。研究人群的人口统计学特征，包括年龄、体重指数、手术时的孕周、妊娠次数、产次和剖宫产史，均无显著差异。就产科和胎儿结局而言，两组在早产、胎儿丢失、分娩方式、出生体重、阿氏评分和孕产妇死亡方面均未发现显著差异。OA组记录了1例围手术期腹腔内脓肿并发症。然而，与OA组相比，LA组的住院时间更短（3.25±2.45天对4.28±3.31天，p = 0.004），活动恢复时间更早（8.1±2.2天对10.1±1.6天，p = 0.025），首次排气时间更短（2.3±0.3天对4.0±1.6天，p = 0.032）。OA组的手术时间在统计学上比LA组短（38.61±分钟对49.42±11.38分钟，p = 0.007）。
LA与更短的住院时间、更快恢复日常活动以及更短的首次排气时间相关。在不增加不良围产期结局的情况下，LA在孕妇中似乎与OA一样安全有效。
