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Comparison of surgical-site infection between open and laparoscopic appendectomy.Suh YJ, Jeong SY, Park KJ, Park JG, Kang SB, Kim DW, Oh HK, Shin R, Kim JS.
SourceDepartment of Surgery, Seoul National University Hospital, Seoul, Korea.
AbstractPURPOSE: An inflamed appendix can be removed either openly (open appendectomy [OA]) or laparoscopically (laparoscopic appendectomy [LA]). Surgical-site infection (SSI) is a representative healthcare-associated infection and can impose serious economic burdens on patients as well as affect morbidity and mortality rates. The aim of this study was to compare LA with OA in terms of SSI.
METHODS: The medical records of 749 patients (420 males; mean age, 33 years) who underwent appendectomy (OA, 431; LA, 318) between September 1, 2008 and April 29, 2010 were retrospectively reviewed for demographic and pathologic characteristics, recovery of bowel movement, length of hospital stay, and postoperative complications.
RESULTS: The frequency of purulent/gangrenous or perforated appendicitis was not significantly different between LA and OA groups (83% [263/318 cases] vs. 83% [359/431 cases], P = 0.183). The time to first flatus after surgery was not significantly different between the two groups (1.38 ± 1.07 days for LA, 1.33 ± 0.90 days for OA, P = 0.444), but the length of hospital stay was significantly shorter in LA group than in OA group (3.37 ± 0.12 days vs. 3.83 ± 0.12 days, P = 0.006). The frequency of overall SSI was not significantly different between the two groups (2.8% for LA, 4.6% for OA, P = 0.204), but that of superficial incisional SSI was significantly lower in LA group (0.6% vs. 3.9%, P = 0.016).
CONCLUSION: The results of this study suggest that LA may lead to a shorter length of hospital stay and may have a lower risk of superficial incisional SSI than OA.
比较开放性与腹腔镜阑尾炎手术的手术部位感染。该文认为腹腔镜阑尾炎手术不仅SSI率更低，而且可缩短住院时间。一般采用腹腔镜手术的阑尾炎患者病情程度一般轻于开放式手术的患者，虽然本文说坏疽/化脓或穿孔二组患者没有区别，但还是有些怀疑。毕竟是一个回顾性调查，或许可以看看全文。
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发表于 2012-2-13 18:11