Laparoscopic versus Open Appendectomy for Complicated Appendicitis / 대한내시경복강경외과학회지
Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
;
: 69-73, 2010.
Article
in Korean
| WPRIM
| ID: wpr-127599
ABSTRACT
PURPOSE:
The value of laparoscopic appendectomy for complicated appendicitis is still controversial. The purpose of this clinical study was to evaluate the efficacy of laparoscopic appendectomy in patients with complicated appendicitis.METHODS:
This study involved a total of 108 consecutive patients who had undergone appendectomy for complicated appendicitis between January 2008 and August 2009. Those patients were divided into two groups; laparoscopic appendectomy (LA) and open appendectomy (OA). The demographic data, the incidence of drainage tube insertion, the operative time, the duration of pain, the time to a soft oral diet, the hospital days and the complication rate for the two groups were analyzed.RESULTS:
There were no significant differences of the operative time (OA group 65.2+/-27.31 min vs the LA group 64.6+/-23.6 min) (p=0.233). However, in the LA group, there were benefits for number of drainage tube insertions (OA group 48/60 vs the LA group 8/48) (p<0.001), the use of analgesics (OA group 3.2+/-3.9 times vs the LA group 1.4+/-1.3 times) (p<0.001), the time to start a soft diet (OA group 2.8+/-1.3 days vs the LA group 1.4+/-1.3 days) (p=0.020), the hospital stay (OA group 7.5+/-3.4 days vs LA group 3.7+/-2.2 days) (p=0.040) and the complication rate (OA group 18/60 vs the LA group 8/48) (p<0.001).CONCLUSION:
These results suggest that laparoscopic appendectomy for treating complicated appendicitis is a safe procedure that may prove to have significant clinical advantages over open appendectomy.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Appendectomy
/
Appendicitis
/
Drainage
/
Incidence
/
Laparoscopy
/
Diet
/
Operative Time
/
Analgesics
/
Length of Stay
Type of study:
Incidence study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
Year:
2010
Type:
Article
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