Shahid Muhammad H, Khan Faisal I, Askri Zain A, Asad Arslan, Saeed Rabia, Talib Talha B, Khan Anwar Z, Fatima Tausief, Afzal Muhammad F
General Surgery, Lahore General Hospital, Lahore, PAK.
General Surgery, Fatima Memorial Hospital, Lahore, PAK.
Cureus. 2022 Jan 16;14(1):e21303. doi: 10.7759/cureus.21303. eCollection 2022 Jan.
Introduction Acute appendicitis is a leading cause of abdominal conditions in emergency departments. Evidence from research studies has indicated the efficacies of surgical procedures involving appendectomies. However, in Pakistan, there is a paucity of information regarding the epidemiology, clinical presentations, and surgical management of acute appendicitis. Objective This paper aims to report the epidemiologic data and findings of surgical management of acute appendicitis in Lahore General Hospital (LGH). The data was based on our two-year experiences of appendectomies in the hospital. Materials and methodology Data were collected retrospectively. The patients underwent appendectomies performed by the team of surgeons of Surgical Unit 1 of LGH in the Accident and Emergency (A&E) Department from July 2019 to October 2021. Results The total number of patients was 506, and the mean age was 26.8. Males (67.29%) and young adults aged 18-34 years were at higher risk of appendicitis. Compared to other surgical procedures performed, open appendectomy and laparoscopic appendectomy operative times were significantly shorter. Histopathology of all the cases showed acute inflammation of the appendix. Discussion Similar to findings from other research studies, the operative time of open appendectomies was shorter (70.6 minutes) in the hospital than the operative time of laparoscopic appendectomies (77 minutes). However, the overall operative times were longer than the operative times reported in some other research studies. Also, contrary to other research findings, open appendectomy (1.22 days) was associated with a longer length of hospital stay than laparoscopic appendectomy (≈1 day). Simple acute appendicitis was the most predominant operation findings (289, 57.1%). Conclusion Compared to other hospitals, the shorter hospital stays/recovery time indicated the high surgical skill of performing open and laparoscopic appendectomies in Lahore General Hospital, Lahore, Pakistan.
引言
急性阑尾炎是急诊科腹部疾病的主要病因。研究证据表明了包括阑尾切除术在内的外科手术的有效性。然而，在巴基斯坦，关于急性阑尾炎的流行病学、临床表现和外科治疗的信息匮乏。
目的
本文旨在报告拉合尔综合医院（LGH）急性阑尾炎的流行病学数据和外科治疗结果。数据基于我们在该医院两年的阑尾切除手术经验。
材料与方法
数据回顾性收集。2019年7月至2021年10月期间，在拉合尔综合医院第一外科手术团队于急诊部为患者实施阑尾切除术。
结果
患者总数为506例，平均年龄为26.8岁。男性（67.29%）和18 - 34岁的年轻人患阑尾炎的风险更高。与其他实施的外科手术相比，开腹阑尾切除术和腹腔镜阑尾切除术的手术时间明显更短。所有病例的组织病理学检查均显示阑尾急性炎症。
讨论
与其他研究结果相似，该医院开腹阑尾切除术的手术时间（70.6分钟）比腹腔镜阑尾切除术的手术时间（77分钟）短。然而，总体手术时间比其他一些研究报告的手术时间更长。此外，与其他研究结果相反，开腹阑尾切除术（1.22天）的住院时间比腹腔镜阑尾切除术（约1天）更长。单纯性急性阑尾炎是最主要的手术发现（289例，57.1%）。
结论
与其他医院相比，较短的住院时间/恢复时间表明巴基斯坦拉合尔拉合尔综合医院在实施开腹和腹腔镜阑尾切除术方面具有较高的外科技术水平。
