腹腔镜阑尾切除术和开腹阑尾切除术的效果和成本比较

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Abstract Objective To compare the effects and costs of laparoscopic appendectomy (LA) and open appendectomy (OA) in treating appendicitis, and analyze the reasons for the differences. Methods The data of 495 cases of appendicitis in the Outpatient and Emergency Department of Xuanwu Hospital of Capital Medical University from January 2014 to November 2016 were retrospectively analyzed, according to different treatment methods, patients were divided into LA group (experimental group, n = 441) and OA group (control group, n = 54). Age, sex, anesthesia classification (ASA), operation time, hospitalization time, antibiotic use time and total cost were compared between the two groups. Results The length of stay in the LA group was shorter than the control group, and the difference was highly statistically significant (P ＜ 0.01). The operation time of experimental group was significantly shorter than that of control group, and the difference was highly statistically significant (P ＜ 0.01). The time of antibiotic treatment in experimental group was shorter than that in control group, and the difference was highly statistically significant (P ＜ 0.01). The intraoperative blood loss in experimental group was less than that in control group, the difference was highly statistically significant (P ＜ 0.01). There was no statistically significant difference in total cost between the two groups (P ＞ 0.05). Conclusion LA is a safe and effective surgical method for appendectomy. Compared with OA, LA shortens hospital stay, operation time and antibiotic use time, and reduces blood loss. LA may be the standard treatment for patients with appendicitis and abdominal pain.

Key words： Laparoscopic appendectomy Open appendectomy Hospital costs Operation time Length of stay Time of antibiotic treatment

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	ZHAO Xiangkun1 ZHU Jie2 Wei Lan3▲

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ZHAO Xiangkun1 ZHU Jie2 Wei Lan3▲. Outcomes and cost comparison of laparoscopic appendectomy versus open appendectomy[J]. 中国医药导报, 2019, 16(19): 98-101.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I19/98

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