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Feasibilit of the short hospital stays after laparoscopic appendectomy for uncomplicated appendicitis

Authors
 Jong Min Lee  ;  Ji Young Jang  ;  Seung Hwan Lee  ;  Hongjin Shim  ;  Jae Gil Lee 
Citation
 YONSEI MEDICAL JOURNAL, Vol.55(6) : 1606-1610, 2014 
Journal Title
YONSEI MEDICAL JOURNAL
ISSN
 0513-5796 
Issue Date
2014
MeSH
Abdominal Pain ; Acute Disease ; Adult ; Aged ; Appendectomy/methods* ; Appendicitis/surgery* ; Feasibility Studies ; Female ; Humans ; Laparoscopy* ; Length of Stay/statistics & numerical data* ; Male ; Middle Aged ; Postoperative Complications ; Postoperative Period ; Retrospective Studies
Keywords
Laparoscopic ; appendectomy ; complication ; hospital stay
Abstract
PURPOSE:
The aim of this study was to evaluate the feasibility of short hospital stays after laparoscopic appendectomy for uncomplicated appendicitis.
MATERIALS AND METHODS:
The records of 142 patients who underwent laparoscopic appendectomy for uncomplicated appendicitis from January 2010 to December 2012 were analyzed retrospectively. Patients were allocated to an early (<48 hours) or a late (>48 hours) group by postoperative hospital stay. Postoperative complications and readmission rates in the two groups were evaluated and compared.
RESULTS:
Overall mean patient age was 50.1 (±16.0) years, and mean hospital stay was 3.8 (±2.8) days. Fifty-four patients (group E, 38.0%) were discharged within 48 hours of surgery, and 88 patients (group L, 62.0%) stayed more than 48 hours. Overall complication rates were similar in the two groups (14.8% vs. 21.6%, p=0.318), and wound complications (13.0% vs. 12.5%), postoperative bowel obstruction (1.9% vs. 2.3%), and abdominal pain (1.9% vs. 3.4%) were not significantly different.
CONCLUSION:
Patients that undergo laparoscopic appendectomy due to uncomplicated appendicitis may be safely discharged within 48 hours. Further study should be conducted to determine the optimal length of hospital stay after laparoscopic appendectomy to reduce hospital costs.
Files in This Item:
T201403629.pdf Download
DOI
10.3349/ymj.2014.55.6.1606
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Shim, Hong Jin(심홍진)
Lee, Seung Hwan(이승환) ORCID logo https://orcid.org/0000-0001-7325-8262
Lee, Jae Gil(이재길) ORCID logo https://orcid.org/0000-0002-1148-8035
Lee, Jong Min(이종민) ORCID logo https://orcid.org/0000-0003-1654-1533
Jang, Ji Young(장지영)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/100092
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