General Surgery Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
Gastrointestinal Surgery Unit, General Surgery Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
BMC Surg. 2022 Jul 23;22(1):282. doi: 10.1186/s12893-022-01732-7.
Although obesity is a popular reason for choosing laparoscopic appendectomy (LA) versus open appendectomy (OA), however, the question of whether there is a difference remains. Our goal is to investigate if there is a difference between OA and LA in obese patients.
Fifty-eight obese patients diagnosed with acute appendicitis according to ALVARDO score at department of surgery at Suez Canal university hospitals from March 2020 till August 2021 were included. The study participants were assigned in two groups LA and OA. This study aimed to comparing between LA and OA regarding intraoperative complications, length of hospital stays, post -operative pain, and rate of post-operative complications. Meanwhile, using SF-36 scoring questionnaire, the quality of life was compared between both groups.
A total of 58 patients were included in the present study (LG = 29 patients and OG = 29 patients). The early post-operative complications (within 30 days after surgery) were significantly lower in the LA group (5 patients out of 29) than the OA (11 patients out of 29). Additionally, lower incidence of complications was noticed in the LA group (2 out of 29 patients) compared to OA (6 patients out of 29) beyond 30 days after operation. Patients with laparoscopic surgery had statistically significant higher overall quality of life scores (SF-36) (72 ± 32) compared to open surgery patients (66 ± 35) 2 weeks after operation.
The laparoscopic procedure was associated with lower incidence of post operative complications. However, open appendectomy was superior for a shorter operative time. Laparoscopic approach is not only used for therapeutic purposes, but also it has a diagnostic role.
虽然肥胖是选择腹腔镜阑尾切除术（LA）与开腹阑尾切除术（OA）的常见原因，但仍存在差异的问题。我们的目标是研究肥胖患者中 OA 和 LA 之间是否存在差异。
本研究纳入了 2020 年 3 月至 2021 年 8 月在苏伊士运河大学医院外科部门根据 ALVARDO 评分诊断为急性阑尾炎的 58 例肥胖患者。研究参与者被分为 LA 和 OA 两组。本研究旨在比较 LA 和 OA 之间的术中并发症、住院时间、术后疼痛和术后并发症发生率。同时，使用 SF-36 评分问卷比较两组之间的生活质量。
本研究共纳入 58 例患者（LG = 29 例，OG = 29 例）。LA 组（5 例中有 29 例）的早期术后并发症（术后 30 天内）明显低于 OA 组（11 例中有 29 例）。此外，LA 组（29 例中有 2 例）在术后 30 天后的并发症发生率明显低于 OA 组（29 例中有 6 例）。腹腔镜手术患者的总体生活质量评分（SF-36）（72 ± 32）明显高于开腹手术患者（66 ± 35）术后 2 周。
腹腔镜手术与术后并发症发生率较低相关。然而，开腹手术的手术时间更短。腹腔镜方法不仅用于治疗目的，而且具有诊断作用。
