지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.88 No.6
- 발행연도
- 2015.5
- 수록면
- 341 - 344 (4page)
이용수
초록· 키워드
오류제보하기
Purpose: Management of appendicitis in children has always been an issue in pediatric surgery. Both diagnostic methods and treatment vary significantly among medical centers, and little consensus exists in many aspects of the care for patients with appendicitis. Here, we assessed the value of drain insertion after appendectomy in children.
Methods: This study is a retrospective review of pediatric patients who underwent appendectomy for perforated appendicitis at a tertiary medical center between 2003 and 2012. Patients who had a peritoneal drain inserted after appendectomy were compared with patients without drains regarding preoperative features and postoperative outcomes. Statistical analyses included a 2-tailed Student t-test and a chi-square or Fisher exact test.
Results: In total, 958 patients were reviewed. Of 342 patients with perforated appendicitis, 108 (31.6%) had Jackson-Pratt (JP) drains inserted. The JP group had a longer hospital stay compared with the non-JP group (6.38 ± 3.59 days vs. 3.87 ± 2.38 days, P < 0.001). The JP group also had higher complication rates (22.2% vs. 6.8%, P = 0.003), including the formation of intra-abdominal abscesses.
Conclusion: According to our results, there seems to be little evidence to support peritoneal drain insertion after appendectomy, even in perforated appendicitis cases.
Methods: This study is a retrospective review of pediatric patients who underwent appendectomy for perforated appendicitis at a tertiary medical center between 2003 and 2012. Patients who had a peritoneal drain inserted after appendectomy were compared with patients without drains regarding preoperative features and postoperative outcomes. Statistical analyses included a 2-tailed Student t-test and a chi-square or Fisher exact test.
Results: In total, 958 patients were reviewed. Of 342 patients with perforated appendicitis, 108 (31.6%) had Jackson-Pratt (JP) drains inserted. The JP group had a longer hospital stay compared with the non-JP group (6.38 ± 3.59 days vs. 3.87 ± 2.38 days, P < 0.001). The JP group also had higher complication rates (22.2% vs. 6.8%, P = 0.003), including the formation of intra-abdominal abscesses.
Conclusion: According to our results, there seems to be little evidence to support peritoneal drain insertion after appendectomy, even in perforated appendicitis cases.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (16)
참고문헌 신청
[학술지(정기간행물)] - Newman K. / 2003 / Appendicitis 2000 : variability in practice, outcomes, and resource utilization at thirty pediatric hospitals / J Pediatr Surg 38 : 372 ~ 379
[학술지(정기간행물)] - Gasior AC. / 2013 / To drain or not to drain : an analysis of abscess drains in the treatment of appendicitis with abscess / Pediatr Surg Int 29 : 455 ~ 458
[학술지(정기간행물)] - Okoye BO. / 1998 / Abscess after appendicectomy in children : the role of conservative management / Br J Surg 85 : 1111 ~ 1113
[학술지(정기간행물)] - St Peter SD. / 2012 / Irrigation versus suction alone during laparoscopic appendectomy for perforated appendicitis : a prospective randomized trial / Ann Surg 256 : 581 ~ 585
[학술지(정기간행물)] - Akkoyun I. / 2012 / Advantages of abandoning abdominal cavity irrigation and drainage in operations performed on children with perforated appendicitis / J Pediatr Surg 47 : 1886 ~ 1890
[학술지(정기간행물)] - Gasior AC. / 2013 / To drain or not to drain : an analysis of abscess drains in the treatment of appendicitis with abscess / Pediatr Surg Int 29 : 455 ~ 458
[학술지(정기간행물)] - Okoye BO. / 1998 / Abscess after appendicectomy in children : the role of conservative management / Br J Surg 85 : 1111 ~ 1113
[학술지(정기간행물)] - St Peter SD. / 2012 / Irrigation versus suction alone during laparoscopic appendectomy for perforated appendicitis : a prospective randomized trial / Ann Surg 256 : 581 ~ 585
[학술지(정기간행물)] - Akkoyun I. / 2012 / Advantages of abandoning abdominal cavity irrigation and drainage in operations performed on children with perforated appendicitis / J Pediatr Surg 47 : 1886 ~ 1890
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UCI(KEPA) : I410-ECN-0101-2016-514-001512149