Feasibility of day surgery mode of laparoscopic appendectomy and con-struct the prediction model of the nomogram based on college students
10.3969/j.issn.1009-9905.2025.07.002
- VernacularTitle:基于大学生群体探讨日间腹腔镜阑尾切除模式的可行性及预测模型的构建
- Author:
Wen-bo ZHAO
1
;
Er-min MA
1
;
Wei-yi SUN
1
;
Nan ZHANG
1
Author Information
1. 河南中医药大学第一附属医院 创伤外科(河南 郑州 450000)
- Publication Type:Journal Article
- Keywords:
Laparoscopic appendectomy;
Day surgery;
Nomogram;
Prediction model
- From:
Chinese Journal of Current Advances in General Surgery
2025;28(7):511-516
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the feasibility of daily laparoscopic appendectomy for acute appendicitis in college students and establish a predictive model of the nomogram.Methods:A prospective analysis was performed on 82 college students with acute appendicitis who were admitted to hospital continuously from December 2023 to De-cember 2024.All patients received laparoscopic appendectomy and accelerated rehabilitation surgical measures combin-ing traditional Chinese and Western medicine,and were divided into two groups according to whether the daytime op-eration mode was achieved.Multivariate Logistic regression analysis was used to screen the independent influencing factors for achieving the day surgery model,and the prediction model was constructed,evaluated and verified.Results:Of the 82 patients,46(56%)achieved the daytime operation mode,the mean length of hospitalization was(41.37±6.33)h,and no serious complications were observed 30 days after surgery.The independent influencing factors for achieving this model were CRP≤13.9 mg/L,abdominal pain time≤22 h,appendix diameter≤10 mm,no drainage tube placed,and postoperative VAS score≤2.5(all P<0.05).The area under the curve of the prediction model was 0.905(95%CI:0.845～0.966),and the calibration chart indicated that the predicted probability of the model was in good agreement with the ac-tual probability,and the decision curve showed good clinical benefit.Conclusion:It is safe and feasible for college stu-dents to receive day surgery mode of laparoscopic appendectomy.The created nomogram model has good predictive ability,which can identify eligible patients as early as possible,and take timely intervention measures to improve the achievement rate.
