在社区医院引入腹腔镜阑尾切除术的好处:缩短住院时间和减少伤口感染

Kojiro Nakamura, M. Sugano
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引用次数: 1

摘要

目的:探讨腹腔镜阑尾切除术(LA)在社区医院的应用效果。患者与方法:研究对象为2003年6月至2005年1月在小仓纪念医院因急性阑尾炎行阑尾切除术的56例患者。2004年3月前,所有患者均行开放性阑尾切除术(OA)。我们在2004年4月引入了LA,从那时起,除了最初的少数病例外,几乎所有病例都接受了LA。评估手术时间、伤口感染、术后发热、首次排气时间、术后镇痛药使用时间、术后住院时间。结果:参与研究的56例患者中,35例接受了OA, 21例接受了LA。LA组手术时间较OA组长(平均±sd: 81±37 vs 58±21 min, p<0.01)。而LA组的伤口感染率较低(37%∶0%,p<0.01),住院时间较短(9.0±6.1∶5.7±3.4 d, p<0.05)。其他因素无显著性差异。结论:社区医院引入LA可减少伤口感染,缩短住院时间。因此,我们建议在社区医院使用LA。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Benefits of Introduction of Laparoscopic Appendectomy in a Community Hospital: a Shorter Hospital Stay and Reduced Wound Infection
AIM: To investigate the benefits of introduction of laparoscopic appendectomy (LA) in a community hospital.PATIENTS AND METHODS: The subjects of the study were 56 patients who underwent appendectomy for acute appendicitis from June 2003 to January 2005 in Kokura Memorial Hospital. Before March 2004, all patients underwent open appendectomy (OA). We introduced LA in April 2004 and from that point onwards almost all the cases underwent LA, except for the initial few cases. Operating time, wound infection, postoperative fever, the time to the first flatus, time of use of postoperative analgesics, and the length of postoperative hospitalization were evaluated.RESULTS: Of the 56 patients enrolled in the study, 35 underwent OA and 21 underwent LA. The operating time for LA was longer than that for OA (mean ± S.D.: 81 ± 37 vs. 58 ± 21 min, p<0.01). However, the rate of wound infection was lower (37% vs. 0%, p<0.01), and the hospitalization was shorter (9.0 ± 6.1 vs. 5.7 ± 3.4 days, p<0.05) for LA. There were no significant differences in other factors.CONCLUSION: The introduction of LA into a community hospital can reduce wound infection and shorten hospitalization. Thus, we recommend use of LA in community hospitals.
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