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首页> 外文期刊>Surgical Endoscopy >Obesity should not influence the management of appendicitis.
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Obesity should not influence the management of appendicitis.

机译：肥胖不应影响阑尾炎的治疗。

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摘要

BACKGROUND: Obesity implies an adverse effect on outcome after appendectomy. This study aimed to determine whether obese patients with appendicitis should be managed differently than nonobese patients. METHODS: After appendectomy, all patients were enrolled in a prospective clinical pathway and followed from initial presentation to full outpatient recovery. RESULTS: In 1 year, 272 adults underwent appendectomy, 55 (22%) of whom were obese. The obese patients were slightly older (35 vs 33 years; p < 0.001). The time to diagnosis (8.5 vs 8.6 h), and the need for computed tomography (CT) scanning (40% vs 49%) was similar in both populations. The obese patients had similar rates of perforation (35% vs 35%) and laparoscopy (47% vs 41%). The median hospital length of stay (LOS) (2 days) and complications, including wound complications (9.1% vs 10.9%) and intraabdominal abscesses (3.6% vs 3.1%), were similar. Subgroup analysis showed a longer LOS for the obese patients with perforation than for the nonobese patients (6 vs 5.5 days; p = 0.036). CONCLUSION: Obese patients had no greater delay in diagnosis, had no greater need for CT scan, gained no additional benefit from laparoscopy, and did not incur significantly worse outcomes after appendectomy except for an increased LOS among those with perforation.
机译：背景：肥胖意味着阑尾切除术后的预后不良。这项研究旨在确定肥胖性阑尾炎患者是否应与非肥胖性患者区别对待。方法：阑尾切除术后，所有患者均参加了一项前瞻性临床研究，并从初次就诊到完全门诊康复。结果：在1年中，有272位成年人接受了阑尾切除术，其中55位（22％）肥胖。肥胖患者年龄稍大（35岁vs 33岁; p <0.001）。在两个人群中，诊断时间（8.5 vs 8.6 h）以及对计算机断层扫描（CT）扫描的需求（40％vs 49％）相似。肥胖患者的穿孔率（35％vs 35％）和腹腔镜检查（47％vs 41％）相似。中位住院时间（LOS）（2天）和并发症，包括伤口并发症（9.1％vs 10.9％）和腹腔脓肿（3.6％vs 3.1％）相似。亚组分析显示，肥胖穿孔患者的LOS较非肥胖患者更长（6 vs 5.5天; p = 0.036）。结论：肥胖患者的诊断没有更多的延迟，不需要更多的CT扫描，腹腔镜检查也没有获得更多的好处，并且阑尾切除术后并没有引起明显的不良后果，只是穿孔患者的LOS增加了。

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