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Morbidity of laparoscopic surgery for complicated appendicitis: an international study.

机译:腹腔镜手术治疗复杂性阑尾炎的发病率:一项国际研究。

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BACKGROUND: Although laparoscopic appendectomy has some advantages over open appendectomy, some reports do show more postoperative intraabdominal abscesses. METHODS: A retrospective review of complicated appendicitis managed surgically by eight surgical groups from six countries was undertaken. Among 3,433 patients with appendicitis, 1,017 (29.5%) had complicated appendicitis, which included perforated or gangrenous appendicitis with or without localized or disseminated peritonitis. There were 74 preoperative abscesses (7.4%) and 5 small bowel obstructions. RESULTS: One patient died. There were 29 postoperative intraabdominal abscesses (2.8%) and 112 mostly minor complications. Conversion to laparotomy was necessary for 28 patients (2.7%). The surgical time ranged from 32 to 132 min (mean, 62 min), and the hospital stay ranged from 1 to 18 days (mean, 3.5 days). CONCLUSIONS: The morbidity rates, particularly for intraabdominal abscesses, were less for laparoscopic appendectomy in complicated appendicitis than those reported in the literature for open appendectomy, whereas operating times and hospital stays were similar.
机译:背景:尽管腹腔镜阑尾切除术比开放性阑尾切除术具有某些优势,但一些报道确实显示更多的术后腹腔内脓肿。方法:回顾性回顾了由六个国家的八个手术组手术治疗的复杂性阑尾炎。在3,433例阑尾炎患者中,1,017例(29.5%)患有复杂性阑尾炎,包括穿孔或坏疽性阑尾炎,伴或不伴局部或弥漫性腹膜炎。术前脓肿74例(7.4%),小肠梗阻5例。结果:1例患者死亡。术后有29例腹腔内脓肿(2.8%)和112例多数为轻度并发症。 28例患者(2.7%)必须转换为剖腹手术。手术时间为32至132分钟(平均62分钟),住院时间为1至18天(平均3.5天)。结论:复杂性阑尾炎的腹腔镜阑尾切除术的发病率,尤其是腹腔内脓肿的发病率,比文献报道的开放性阑尾切除术的发病率要低,而手术时间和住院时间相近。

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