Western Michigan University School of Medicine, 1000 Oakland Dr, Kalamazoo, MI 49008, USA; Bronson Methodist Hospital, 601 John St, Kalamazoo, MI 49007, USA.
Am J Surg. 2018 Mar;215(3):483-486. doi: 10.1016/j.amjsurg.2017.10.057. Epub 2017 Nov 11.
The optimal timing for performing appendectomy in adults remains controversial.
A one-year retrospective review of adult patients with acute appendicitis who underwent appendectomy. The cohort was divided by time-to-intervention into two groups: patients who underwent appendectomy within 8 h (group 1), and those who had surgery after 8 h (group 2). Outcome measures including perioperative morbidity and mortality, post-operative length of stay, and the 30-day readmission rate were compared between the two groups.
A total of 116 patients who underwent appendectomy met the inclusion criteria: 75 patients (65%) in group 1, and 41 (35%) in group 2. There were no differences between group 1 & 2 in perioperative complications (6.7% vs. 9.8%, P = 0.483), postoperative length of stay (median [IQR]; 19.5 [11.5-40.5] vs. 20.0 [11.25-58.5] hours, P = 0.632), or 30-day readmission rate (2.7% vs. 4.9%, P = 0.543). There were no deaths in either group.
Delayed appendectomy performed more than 8 h was not associated with increased perioperative complications, postoperative length of stay, 30-day readmission rate, or mortality.
成人行阑尾切除术的最佳时机仍存在争议。
对 116 例行阑尾切除术的急性阑尾炎成年患者进行为期 1 年的回顾性研究。根据手术时间将队列分为两组：8 小时内手术（第 1 组）和 8 小时后手术（第 2 组）。比较两组患者围手术期发病率和死亡率、术后住院时间和 30 天再入院率。
共有 116 例患者符合纳入标准，其中第 1 组 75 例（65%），第 2 组 41 例（35%）。第 1 组和第 2 组在围手术期并发症（6.7%比 9.8%，P=0.483）、术后住院时间（中位数[IQR]；19.5[11.5-40.5]比 20.0[11.25-58.5]小时，P=0.632）或 30 天再入院率（2.7%比 4.9%，P=0.543）方面均无差异。两组均无死亡病例。
8 小时以上行阑尾切除术与围手术期并发症、术后住院时间、30 天再入院率或死亡率的增加无关。
