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首页> 外文期刊>Surgical Endoscopy >A prospective, randomized, unicenter study comparing laparoscopic and open treatments of acute appendicitis.
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A prospective, randomized, unicenter study comparing laparoscopic and open treatments of acute appendicitis.

机译：一项前瞻性，随机，单中心研究，比较了腹腔镜和开放治疗急性阑尾炎。

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BACKGROUND: Appendectomy in the course of acute appendicitis is one of the most frequently performed surgical procedure in general surgery. The aim of this study was to compare the results of laparoscopic and conventional treatments for acute appendicitis in a prospective, randomized, unicenter study. METHODS: The study involved 200 patients treated for acute appendicitis in the Department of General and Vascular Surgery at Ceynowa Hospital in Wejherowo, Poland. RESULTS: The mean operative time for open surgery was 36.99 min. For laparoscopic method the operation was longer, requiring 47.75 min. Suction drainage was applied in 23 patients treated conventionally and 50 patients treated laparoscopically ( p < 0.05). The requirement for analgesia, measured by the number of metamizole ampules, was significantly higher in the conventional group. Pain on postoperative days 2 and 7 measured using a visual analog scale, was significantly more severe for the patients treated conventionally. The hospital stay inboth groups did not differ significantly: 5.03 days for the conventional group and 4.71 days for the laparoscopic group. The time until return to work and social activities in the laparoscopic group (15.85 days) and was significantly shorter than in the conventional group (19.65 days). Seven complications occurred in the conventional group (6.7%) and nine (9.4%) in the laparoscopic group. The difference was not statistically significant. No deaths occurred. CONCLUSIONS: On the basis of the conducted study, it may be assumed that laparoscopic appendectomy is a safe procedure, and that postoperative morbidity is comparable with that for a conventional operation. There was less postoperative pain and shorter recovery time after laparoscopic surgery than after the open procedure.
机译：背景：急性阑尾炎过程中的阑尾切除术是普外科中最常进行的外科手术之一。这项研究的目的是在一项前瞻性，随机，单中心研究中比较腹腔镜和常规治疗急性阑尾炎的结果。方法：该研究涉及波兰韦伊赫罗沃的Ceynowa医院普外科和血管外科的200例急性阑尾炎患者。结果：开放手术的平均手术时间为36.99分钟。对于腹腔镜方法，手术时间更长，需要47.75分钟。常规治疗的23例患者和腹腔镜治疗的50例患者进行了抽吸引流（p <0.05）。在常规组中，以间咪唑安瓿的数量衡量，镇痛的需求量明显更高。使用视觉模拟量表测量的术后第2天和第7天的疼痛对于传统治疗的患者而言更为严重。两组的住院天数没有显着差异：常规组为5.03天，腹腔镜组为4.71天。腹腔镜检查组恢复工作和社交活动的时间（15.85天），显着少于传统组（19.65天）。常规组发生七种并发症（6.7％），腹腔镜组发生九种并发症（9.4％）。差异无统计学意义。没有死亡发生。结论：在进行的研究的基础上，可以假设腹腔镜阑尾切除术是一种安全的方法，并且术后发病率与常规手术相当。与开放手术相比，腹腔镜手术后的术后疼痛更少，恢复时间更短。

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