腹腔镜与开腹阑尾切除术临床结局的比较：单中心经验
Comparison of clinical outcome of laparoscopic versus open appendectomy, single center experience.
作者信息
Shimoda Mitsugi, Maruyama Tsunehiko, Nishida Kiyotaka, Suzuki Kazuomi, Tago Tomoya, Shimazaki Jiro, Suzuki Shuji
机构信息
Department of Gastroenterological Surgery, Tokyo Medical University, Ibaraki Medical Center, Japan.
出版信息
Heliyon. 2018 May 24;4(5):e00635. doi: 10.1016/j.heliyon.2018.e00635. eCollection 2018 May.
INTRODUCTION
Laparoscopic appendectomy (LA) is now a treatment of choice in patients with appendicitis. This study compares the treatment outcomes of LA and open appendectomies (OA) in our department.
PATIENTS AND METHODS
From January 2006 to April 2016 a total of 185 patients underwent appendectomy at our institution. We divided the patients into two groups; LA group (LAG) and OA group (OAG). Following parameters were analyzed: age, gender, preoperative clinicolaboratory characteristics, operative factors, interval appendectomy, length of hospital stay (LHS), and surgical site infections (SSI).
RESULTS
There were 93 patients in LA G and 92 in OAG. According to the Univariate analysis, there were statistically significant differences among age (p = 0.037), LHS (p = 0.0001), duration till resuming oral intake (p = 0.016), blood loss (p = 0.038), SSI ratio (p = 0.044) and CRP level (p = 0.038) between the LAG and the OAG. According to the Multivariate analysis, blood loss (p = 0.038) and LHS (p = 0.023) were significantly different between both groups.
CONCLUSION
LA was decreasing blood loss and LHS.
引言
腹腔镜阑尾切除术（LA）现已成为阑尾炎患者的首选治疗方法。本研究比较了我院LA和开腹阑尾切除术（OA）的治疗效果。
患者与方法
2006年1月至2016年4月，我院共有185例患者接受了阑尾切除术。我们将患者分为两组：LA组（LAG）和OA组（OAG）。分析了以下参数：年龄、性别、术前临床实验室特征、手术因素、间隔阑尾切除术、住院时间（LHS）和手术部位感染（SSI）。
结果
LAG组有93例患者，OAG组有92例患者。单因素分析显示，LAG组和OAG组在年龄（p = 0.037）、LHS（p = 0.0001）、恢复经口进食时间（p = 0.016）、失血量（p = 0.038）、SSI发生率（p = 0.044）和CRP水平（p = 0.038）方面存在统计学显著差异。多因素分析显示，两组之间的失血量（p = 0.038）和LHS（p = 0.023）存在显著差异。
结论
LA可减少失血量和住院时间。
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