Sabahattin Destek, Hacer Kundakcioglu, Huseyin Kazim Bektasoglu, Enver Kunduz, Samet Yigman, Aysegul Yabaci Tak, Vahit Onur Gul, Kamuran Cumhur Deger
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引用次数: 0
摘要
目的：急性阑尾炎（AA）是急腹症最常见的病因，阑尾切除术是最常见的外科手术之一。本研究旨在比较开腹阑尾切除术（OA）和腹腔镜手术（LA）在治疗 AA 中的应用：方法：对2019-2020年确诊为AA的236名患者的数据进行了分析。其中，85 名患者接受了 OA，84 名患者接受了 LA。然后，从人口统计学、实验室、临床和手术治疗等方面对两组患者进行比较：研究共纳入了 169 名患者。平均年龄为 34.9 岁（16-78 岁不等），男女比例为 0.69。统计分析显示，OA 组白细胞增多、女性多于 LA 组、手术时间长于 LA 组，但 LA 组的并发症发生率较低（p 结论：与 OA 相比，LA 的发病率更低、住院时间更短、恢复正常活动更快。在 AA 的手术治疗中，LA 可作为常规和一线治疗方法。
Comparison of open and laparoscopic techniques in the surgical treatment of acute appendicitis.
Objective: Acute appendicitis (AA) is the most common cause of acute abdomen and appendectomy is one of the most common surgical procedures. In this study, we aimed to compare open appendectomy (OA) and laparoscopic (LA) surgical techniques in the treatment of AA.
Methods: The data of 236 patients treated with the diagnosis of AA in 2019-2020 were analyzed. Of these patients, 85 patients who received OA and 84 patients who received LA were included in the study. Then, the two groups were compared in terms of demographic, laboratory, clinical, and surgical treatments.
Results: A total of 169 patients were included in the study. The mean age was 34.9 years (range 16-78), and the male-to-female ratio was 0.69. Statistical analysis revealed that the OA group had more leukocytosis, more female gender, and longer operation time than the LA group, but the LA group's complication rate was lower (p<0.05).
Conclusion: LA offers less morbidity, a shorter duration of hospital stay, and a fast return to normal activities compared to OA. In the surgical treatment of AA, LA can be applied as a routine and first-line treatment.
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