Laparoscopic versus open appendectomy: Which way to go?

查看全文 作　　者：Ioannis [1]Kehagias;Stavros Nikolaos [1]Karamanakos;Spyros [1]Panagiotopoulos;Konstantinos [1]Panagopoulos;Fotis [1]Kalfarentzos

机构地区：[1]Department of Surgery, School of Medicine, University Hospital of Patras, Rion University Hospital, Patras 26500, Greece

出　　处：《World Journal of Gastroenterology》索引2008年第14卷第31期,共6页

摘　　要：AIM: To compare the outcome of laparoscopic versus open appendectomy. METHODS: Prospectively collected data from 293 consecutive patients with acute appendicitis were studied. These comprised of 165 patients who underwent conventional appendectomy and 128 patients treated laparoscopically. The two groups were compared with respect to operative time, length of hospital stay, postoperative pain, complication rate and cost. RESULTS: There were no statistical differences regarding patient characteristics between the two groups. Conversion to laparotomy was necessary in 2 patients (1.5%). Laparoscopic appendectomy was associated with a shorter hospital stay (2.2 d vs 3.1 d, P = 0.04), and lower incidence of wound infection (5.3% vs 12.8%, P = 0.03). However, in patients with complicated disease, intra-abdominal abscess formation was more common after laparoscopic appendectomy (5.3% vs 2.1%, P = 0.002). The operative time and analgesia requirements were similar in the two groups. The cost of treatment was higher by 370 € in the laparoscopic group. CONCLUSION: Laparoscopic appendectomy is as safe and effi cient as open appendectomy, provided surgical experience and equipment are available. 关键词：阑尾炎腹腔镜手术治疗病理机制

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Laparoscopic versus open appendectomy: Which way to go?

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