Comparison of surgical-site infection between open and laparoscopic appendectomy

Yong Joon Suh; Seung-Yong Jeong; Kyu Joo Park; Jae-Gahb Park; Sung-Bum Kang; Duck-Woo Kim; Heung-Kwon Oh; Rumi Shin; Ji Sun Kim

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저자정보: Yong Joon Suh (Seoul National University Hospital) Seung-Yong Jeong (Seoul National University Hospital) Kyu Joo Park (Seoul National University Hospital) Jae-Gahb Park (Seoul National University Hospital) Sung-Bum Kang (Seoul National University) Duck-Woo Kim (Seoul National University) Heung-Kwon Oh (Seoul National University Hospital) Rumi Shin (Seoul National University Hospital) Ji Sun Kim (Seoul National University Hospital)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research 대한외과학회지 Vol.82 No.1

발행연도: 2012.1

수록면: 35 - 39 (5page)

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Purpose: An inflamed appendix can be removed either openly (open appendectomy [OA]) or laparoscopically (laparoscopic appendectomy [LA]). Surgical-site infection (SSI) is a representative healthcare-associated infection and can impose serious economic burdens on patients as well as affect morbidity and mortality rates. The aim of this study was to compare LA with OA in terms of SSI. Methods: The medical records of 749 patients (420 males; mean age, 33 years) who underwent appendectomy (OA, 431; LA, 318) between September 1, 2008 and April 29, 2010 were retrospectively reviewed for demographic and pathologic characteristics, recovery of bowel movement, length of hospital stay, and postoperative complications. Results: The frequency of purulent/gangrenous or perforated appendicitis was not significantly different between LA and OA groups (83% [263/318 cases] vs. 83% [359/431 cases], P = 0.183). The time to first flatus after surgery was not significantly different between the two groups (1.38 ± 1.07 days for LA, 1.33 ± 0.90 days for OA, P = 0.444), but the length of hospital stay was significantly shorter in LA group than in OA group (3.37 ± 0.12 days vs. 3.83 ± 0.12 days, P = 0.006). The frequency of overall SSI was not significantly different between the two groups (2.8% for LA, 4.6% for OA, P = 0.204), but that of superficial incisional SSI was significantly lower in LA group (0.6% vs. 3.9%, P = 0.016). Conclusion: The results of this study suggest that LA may lead to a shorter length of hospital stay and may have a lower risk of superficial incisional SSI than OA.

#Laparoscopic #Appendectomy #Surgical-site infection

참고문헌 (25)

참고문헌 신청

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