Richards K F, Fisher K S, Flores J H, Christensen B J
Intermountain Endosurgical Institute, LDS Hospital, Salt Lake City, Utah.
Surg Laparosc Endosc. 1996 Jun;6(3):205-9.
We conducted a review of laparoscopic appendectomies (LA) and open appendectomies (OA) over a 3-year period, including 720 patients (253 LA, 467 OA) who underwent appendectomy during the study period. Computer records were reviewed with respect to demographics, length of stay, operating room time, operating room cost, hospital cost, and morbidity. All patients were sent surveys to assess their posthospitalization recovery. The LA patients had significant shorter hospital stays (2.06 days vs. 3.44 days, p < .001), lower morbidity rates (5 vs 14%, p < .02), and comparable overall hospital costs ($4,800 vs. $4,950). The LA patients also reported less postoperative pain and were able to return to work sooner. Our results show that LA can significantly decrease morbidity and hospital stay with a comparable hospital cost and result in quicker patient recovery.
我们对3年期间的腹腔镜阑尾切除术（LA）和开腹阑尾切除术（OA）进行了回顾，研究期间共有720例患者接受了阑尾切除术（253例LA，467例OA）。我们查阅了计算机记录，内容涉及人口统计学信息、住院时间、手术室时间、手术室费用、医院费用和发病率。所有患者均收到调查问卷，以评估他们出院后的恢复情况。LA患者的住院时间明显更短（2.06天对3.44天，p <.001），发病率更低（5%对14%，p <.02），总体医院费用相当（4800美元对4950美元）。LA患者术后疼痛也较轻，能够更快恢复工作。我们的结果表明，LA可以显著降低发病率和缩短住院时间，同时医院费用相当，并能使患者更快康复。
