Risk factors for prolonged hospitalization and delayed treatment completion after laparoscopic appendectomy in patients with uncomplicated acute appendicitis

Shin Jiyoung; 인명훈; Kim Kyung Sik; Kim Sang Hyun; Lee Jihyoun; Yun Sangchul; Cho Sung Woo

doi:10.3393/ac.2021.00773.0110

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자료유형: 학술저널

저자정보: Shin Jiyoung (Department of Surgery Soonchunhyang University Seoul Hospital Soonchunhyang University College of Medicine) 인명훈 (순천향대학교) Kim Kyung Sik (Department of Surgery Soonchunhyang University Seoul Hospital Soonchunhyang University College of Medicine) Kim Sang Hyun (Department of Surgery Soonchunhyang University Seoul Hospital Soonchunhyang University College of Medicine) Lee Jihyoun (Department of Surgery Soonchunhyang University Seoul Hospital Soonchunhyang University College of Medicine) Yun Sangchul (Department of Surgery Soonchunhyang University Seoul Hospital Soonchunhyang University College of Medicine) Cho Sung Woo (Department of Surgery Soonchunhyang University Seoul Hospital Soonchunhyang University College of Medicine)

저널정보: 대한대장항문학회 Annals of Coloproctology Annals of Coloproctolgy Vol.39 No.1

발행연도: 2023.2

수록면: 50 - 58 (9page)

DOI: 10.3393/ac.2021.00773.0110

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Purpose: We sought to identify the risk factors for prolonged hospitalization and delayed treatment completion after laparoscopic appendectomy in patients with uncomplicated acute appendicitis. Methods: The study retrospectively analyzed 497 patients who underwent laparoscopic appendectomies for uncomplicated appendicitis between January 2018 and December 2020. The patients were divided into an early discharge group (≤2 days) and a late discharge group (>2 days) based on the length of hospital stay (LOS). The patients were also divided into uneventful and complicated groups according to the need for additional treatment after standard follow-up. Results: Thirty-seven patients (7.4%) were included in the late discharge group. The mean LOS of the late discharge groups was 3.9 days. There were significant differences according to age, preoperative C-reactive protein (CRP), and operative time between the 2 groups. Only operative time was significantly associated with prolonged LOS in multivariate analysis. Thirty-five patients (7.0%) were included in the complicated group. The mean duration of treatment in the uneventful and complicated groups was 7.4 and 25.3 days, respectively. Significant differences existed between the uneventful and complicated groups in preoperative body temperature, preoperative CRP levels, maximal appendix diameter, and the presence of appendicoliths. In multivariate analysis, preoperative CRP levels and maximal appendix diameter were independent predictors of delayed treatment completion. Conclusion: Shorter operative time is desirable to ensure minimal hospital stay in patients with uncomplicated appendicitis. Further efforts are needed to ensure that patients with uncomplicated appendicitis do not experience delayed treatment completion after laparoscopic appendectomies.

#Laparoscopy #Appendectomy #Appendicitis #Length of stay #Postoperative complications

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Shin Jiyoung

소속기관 Department of Surgery Soonchunhyang University Seoul Hospital Soonchunhyang University College of Medicine