Shimoda Mitsugi, Maruyama Tsunehiko, Nishida Kiyotaka, Suzuki Kazuomi, Tago Tomoya, Shimazaki Jiro, Suzuki Shuji
Department of Gastroenterological Surgery, Tokyo Medical University, Ibaraki Medical Center, Japan.
Heliyon. 2018 May 24;4(5):e00635. doi: 10.1016/j.heliyon.2018.e00635. eCollection 2018 May.
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.
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).
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.
LA was decreasing blood loss and LHS.
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。
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）。
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。
LA可减少失血量和住院时间。
