Feasibility of the Short Hospital Stays after Laparoscopic Appendectomy for Uncomplicated Appendicitis.
10.3349/ymj.2014.55.6.1606
- Author:
Jong Min LEE
1
;
Ji Young JANG
;
Seung Hwan LEE
;
Hongjin SHIM
;
Jae Gil LEE
Author Information
1. Department of Surgery, Yonsei University College of Medicine, Seoul, Korea. jakii@yuhs.ac
- Publication Type:Original Article ; Evaluation Studies
- Keywords:
Laparoscopic;
appendectomy;
hospital stay;
complication
- MeSH:
Abdominal Pain;
Acute Disease;
Adult;
Aged;
Appendectomy/*methods;
Appendicitis/*surgery;
Feasibility Studies;
Female;
Humans;
*Laparoscopy;
Length of Stay/*statistics & numerical data;
Male;
Middle Aged;
Postoperative Complications;
Postoperative Period;
Retrospective Studies
- From:Yonsei Medical Journal
2014;55(6):1606-1610
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The aim of this study was to evaluate the feasibility of short hospital stays after laparoscopic appendectomy for uncomplicated appendicitis. MATERIALS AND METHODS: The records of 142 patients who underwent laparoscopic appendectomy for uncomplicated appendicitis from January 2010 to December 2012 were analyzed retrospectively. Patients were allocated to an early (<48 hours) or a late (>48 hours) group by postoperative hospital stay. Postoperative complications and readmission rates in the two groups were evaluated and compared. RESULTS: Overall mean patient age was 50.1 (+/-16.0) years, and mean hospital stay was 3.8 (+/-2.8) days. Fifty-four patients (group E, 38.0%) were discharged within 48 hours of surgery, and 88 patients (group L, 62.0%) stayed more than 48 hours. Overall complication rates were similar in the two groups (14.8% vs. 21.6%, p=0.318), and wound complications (13.0% vs. 12.5%), postoperative bowel obstruction (1.9% vs. 2.3%), and abdominal pain (1.9% vs. 3.4%) were not significantly different. CONCLUSION: Patients that undergo laparoscopic appendectomy due to uncomplicated appendicitis may be safely discharged within 48 hours. Further study should be conducted to determine the optimal length of hospital stay after laparoscopic appendectomy to reduce hospital costs.
