Department of Surgery, Tokyo Metropolitan Children's Medical Center, Fuchu, Japan.
Afr J Paediatr Surg. 2020 Jan-Jun;17(1-2):23-25. doi: 10.4103/ajps.AJPS_122_16.
In our institution, we avoid emergency nighttime appendectomies, instead performing the surgery during daylight hours the following day. We examined whether emergency or early appendectomies affect the outcome of patient morbidity.
Medical records of children treated for appendicitis between 2010 and 2012 were retrospectively reviewed. Outcomes were compared between Group 1, defined as those patients who presented to the hospital during the day and underwent appendectomy on the same day and Group 2, defined as those patients who presented to the hospital at night and underwent appendectomy the next day. Incidences of perforation at surgery, operative time, complications and length of stay were analysed. Cases with perforation were also analysed to determine if the perforations could have been identified preoperatively.
A total of 74 patients met the study criteria, including 41 and 33 in Groups 1 and 2, respectively. There were no significant differences in the incidence of perforation at surgery, operative time, complications and length of stay. A total of nine cases of perforation were identified during surgery, and there were no significant differences in the pre-operative characteristics between perforated and non-perforated cases.
The results of this study indicate that early appendectomy is safe and did not increase patient morbidity. We, therefore, recommend performing appendectomies in the daytime.
在我院，我们避免在夜间行急诊阑尾切除术，而是在次日白天行择期手术。我们研究了急诊或早期阑尾切除术是否会影响患者的发病率。
回顾性分析了 2010 年至 2012 年期间我院收治的阑尾炎患儿的病历。将第 1 组（白天就诊且当日行阑尾切除术）和第 2 组（夜间就诊且次日行阑尾切除术）患者的结局进行比较。分析手术穿孔率、手术时间、并发症发生率和住院时间。对穿孔病例进行分析，以确定穿孔是否可以在术前识别。
共 74 例患者符合研究标准，分别纳入第 1 组和第 2 组各 41 例和 33 例。两组在手术穿孔率、手术时间、并发症发生率和住院时间方面无显著差异。共 9 例患者术中发现穿孔，穿孔与非穿孔病例的术前特征无显著差异。
本研究结果表明，早期阑尾切除术是安全的，不会增加患者的发病率。因此，我们建议在白天行阑尾切除术。
