Laparoscopic vs open appendectomy in obese patients
10.3760/cma.j.issn.1007-631X.2012.06.017
- VernacularTitle:肥胖患者行腹腔镜与开腹阑尾切除术疗效的对比研究
- Author:
Hua SHAO
;
Wei SUN
;
Jie SUN
;
Yan LI
;
Hai ZHU
;
Qiang WANG
- Publication Type:Journal Article
- Keywords:
Appendicitis;
Laparoscopies;
Appendectomy;
Obesity
- From:
Chinese Journal of General Surgery
2012;27(6):491-494
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate laparoscopic appendectomy(LA) and open appendectomy(OA)in obese patients.Methods From January 2008 to November 2010,153 obese patients with appendicitis were operated on,92 cases were treated with initial LA and 61 cases with upfront OA.The operative time,intraoperative bleeding volume,intestinal recovery period,the rate of using acesodyne,major postoperative complications,the duration and hospital cost were studied.Results In LA group,4 cases were converted to open surgery.All the variables in LA group were better than those in OA group except the hospital cost and the differences were statistically significant (the operative time:t =14.0,P ＜ 0.001 ;intraoperative bleeding volume:t =19.7,P ＜ 0.00 1 ;intestinal recovery period:t =12.3,P ＜ 0.001 ;the rate of using acesodyne:t =21.01,P ＜ 0.001 ;main postoperative complications:x2 =40.138,P ＜ 0.001 ;the hospital stay:t=17.3,P＜0.001) except the in-hospital cost(t=1.434,P＞0.05).Conclusions Compared with OA,LA is a better choice for obese patients with appendicitis because of its advantages of minimal injury,early recovery,less complications and short hospital stay.
