Ergün Ergun, Sözduyar Sümeyye, Gurbanova Aynur, Serttürk Fırat, Çiftçi Ergin, Özdemir Halil, Arga Gül, Konca Hatice Kübra, Çınar Güle, Akdemir Kalkan İrem, Gülten Ezgi, Selvi Can Özlem, Şen Akova Birsel, Suat Fitöz Ömer, Vatansever Göksel, Tekin Deniz, Göllü Gülnur, Bingöl-Koloğlu Meltem, Yağmurlu Aydın, Çakmak Murat, Ateş Ufuk
Department of Pediatric Surgery, Ankara University Faculty of Medicine, Ankara, Turkey.
Division of Pediatric Infectious Disease, Ankara University Faculty of Medicine, Ankara, Turkey.
Turk J Surg. 2021 Dec 31;37(4):318-323. doi: 10.47717/turkjsurg.2021.5277. eCollection 2021 Dec.
Appendicitis is a common surgical emergency among children. The coronavirus pandemic affected the system of hospitals more than any other field, and great amount of people were concerned about visiting the hospitals for any reason. In this study, it was aimed to evaluate the profile of appendicitis by emphasizing perforated and acute appendicitis in the pandemic period and to compare the rates with previous three years.
Charts of the children who underwent laparoscopic appendectomy due to appendicitis between March 11-September 30 between 2017-2020 were retrospectively analyzed in terms of demographic data, duration of symptoms, duration between hospital admission and surgery, radiologic imaging and perioperative outcomes.
This study includes 467 children who underwent laparoscopic appendectomy. There were 97 procedures in 2020, 111 in 2019, 146 in 2018 and 113 in 2017. Multiple comparison tests revealed that age did not show difference; but onset of symptoms in admission (p= 0.004), hospitalization time before surgery (p <0.001), total hospitalization time (p <0.001) showed statistically significant difference between years. Pairwise comparisons showed that these parameters were increased in 2020 compared to other years. Perforated appendicitis rate was significantly increased in 2020 when compared to previous years.
Although there is no direct relation between appendicitis and COVID-19 infection in the current knowledge, perforated appendicitis was found to be increased in children during the COVID pandemic. Reason of the higher rate of perforated appendicitis may be multifactorial; however, the pandemic appears to have a role in increased morbidity in children with appendicitis indirectly due to delay of hospital admissions.
阑尾炎是儿童常见的外科急症。冠状病毒大流行对医院系统的影响超过其他任何领域，大量民众因任何原因都对前往医院心存顾虑。本研究旨在通过强调大流行期间的穿孔性阑尾炎和急性阑尾炎来评估阑尾炎的概况，并将其发生率与前三年进行比较。
回顾性分析2017年至2020年3月11日至9月30日期间因阑尾炎接受腹腔镜阑尾切除术的儿童病历，内容包括人口统计学数据、症状持续时间、入院至手术的时间、放射学影像及围手术期结局。
本研究纳入467例行腹腔镜阑尾切除术的儿童。2020年有97例手术，2019年有111例，2018年有146例，2017年有113例。多重比较检验显示年龄无差异；但入院时症状发作情况（p = 0.004）、手术前住院时间（p <0.001）、总住院时间（p <0.001）在各年份间存在统计学显著差异。两两比较显示，与其他年份相比，这些参数在2020年有所增加。与前几年相比，2020年穿孔性阑尾炎发生率显著增加。
尽管就目前所知阑尾炎与新冠病毒感染之间没有直接关联，但发现在新冠大流行期间儿童穿孔性阑尾炎有所增加。穿孔性阑尾炎发生率较高的原因可能是多因素的；然而，大流行似乎因住院延迟而间接导致阑尾炎患儿发病率增加。
