Laparoscopic versus Open Appendectomy for Complicated Appendicitis / 대한내시경복강경외과학회지
Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
;
: 69-73, 2010.
Artigo
em Coreano
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Apendicectomia
/
Apendicite
/
Drenagem
/
Incidência
/
Laparoscopia
/
Dieta
/
Duração da Cirurgia
/
Analgésicos
/
Tempo de Internação
Tipo de estudo:
Estudo de incidência
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
Ano de publicação:
2010
Tipo de documento:
Artigo
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