Open Versus Laparoscopic Surgery for Acute Appendicitis in Adults
- VernacularTitle:成人急性虫垂炎に対する開腹手術と腹腔鏡手術の比較検討
- Author:
Masayoshi SAKUMA
1
;
Yasuhiro KURUMIYA
2
;
Keisuke MIZUNO
1
;
Ei SEKOGUCHI
1
;
Gen SUGAWARA
1
;
Masaya INOUE
1
;
Takehiro KATO
1
;
Naohiro AKITA
1
;
Naoya TORII
1
;
Yasukazu KANIE
1
;
Kosuke INADA
1
;
Kenji TAKEUCHI
1
;
Akihito OGATA
1
;
Akiko OSADA
1
Author Information
- From:Journal of the Japanese Association of Rural Medicine 2020;69(1):43-47
- CountryJapan
- Language:Japanese
- Abstract: The purpose of this study was to compare the results of open surgery and laparoscopic surgery for acute appendicitis in adults. In 2013, we primarily selected open surgery for acute appendicitis, but in 2017 we opted to select mainly laparoscopic surgery. We compared between 92 patients who had undergone open surgery in 2013 and 88 patients who underwent laparoscopic surgery group in 2017. There was no difference in age, sex, body mass index, white blood cell count, C-reactive protein, or perforation rate on computed tomography between the two groups. The laparoscopic surgery group had significantly longer operation time but significantly lower blood loss and postoperative complication rate. In particular, laparoscopic surgery was advantageous in terms of hemostasis for moderate bleeding. The results suggest that laparoscopic surgery may be more useful in adult appendicitis than open surgery.
