Özozan Ömer Vefik, Güldoğan Cem Emir, Gündoğdu Emre, Özmen Mehmet Mahir
Department of General Surgery, Istinye University Hospital, Liv Hospital Bahcesehir, Istanbul, Turkey.
Department of General Surgery, Istinye University Hospital, Liv Hospital Ankara, Ankara, Turkey.
Turk J Surg. 2020 Mar 18;36(1):105-109. doi: 10.5578/turkjsurg.4714. eCollection 2020 Mar.
The clinical results of obese patients who have undergone open or laparoscopic appendectomy, whether one technique is superior to the other is still not clearly known.In our study, we compared the clinical results of obese patients operated with laparoscopic or open technique for acute appendicitis.
We performed retrospective analyses of patients operated for acute appendicitis between the dates of July 2016 and July 2019 at Istinye University Faculty of Medicine Bahcesehir Liv Training and Research Hospital and Liv Hospital Ankara. Of the 241 patients whose height and weight information was accessible, 57 had a body mass index of 30 kg/m2 or higher. Eighteen of these patients underwent open surgery while the other 39 underwent laparoscopic surgery. The primary result criterion was complication ratio. Secondary criteria were operation time and length of hospital stay.
Upon comparison of laparoscopic and open techniques in terms of intraoperative-postoperative complications (p= 0.01), operation time (p= 0.02) statistically significant differences were found between the groups. However the mean length of hospital stay (p= 0.181) was similar in both groups.
In obese appendicitis patients, the laparoscopic technique proved to be superior to the open technique in criteria such as perioperative-postoperative complications, operation time, and etc. Length of hospital stay was determined to be similar between the groups.
接受开腹或腹腔镜阑尾切除术的肥胖患者的临床结果，以及两种技术中哪种更具优势仍不明确。在我们的研究中，我们比较了采用腹腔镜或开腹技术治疗急性阑尾炎的肥胖患者的临床结果。
我们对2016年7月至2019年7月期间在伊斯坦布尔大学医学院巴赫切希尔Liv培训与研究医院和安卡拉Liv医院接受急性阑尾炎手术的患者进行了回顾性分析。在241例可获取身高和体重信息的患者中，57例体重指数为30kg/m²或更高。其中18例患者接受了开放手术，另外39例接受了腹腔镜手术。主要结果标准是并发症发生率。次要标准是手术时间和住院时间。
比较腹腔镜和开放技术在术中和术后并发症方面（p=0.01）、手术时间方面（p=0.02），两组之间存在统计学显著差异。然而，两组的平均住院时间（p=0.181）相似。
在肥胖阑尾炎患者中，腹腔镜技术在围手术期和术后并发症、手术时间等标准方面被证明优于开放技术。两组的住院时间相似。
