LAPAROSKOPİK APPENDEKTOMİ İLE KONVANSİYONEL APPENDETOMİLERİMİZİN KARŞILAŞTIRILMASI: TEK MERKEZLİ DENEYİM

Giriş: Akut Apandisit ilk defa 1886’da Dr. Fitz tarafından tanımlanmış olup, genel cerrahi pratiğinde ilk sıralarda yer alan bir tablodur. Araştırmamızda kliniğimize akut apandisit tanısı ile yatırılan hastalara cerrahi tedavi yaklaşımı açısından laparoskopik ve açık appendektomi uygulandığında gözlediğimiz farklılıkları ortaya koymayı amaçladık. Gereç ve Yöntem: Çalışmamızda Genel Cerrahi Kliniğinde Ocak 2017 ve Ocak 2018 tarihleri arasında akut apandisit nedeniyle ameliyat edilen hastalar retrospektif olarak incelendi. Hastalar açık apendektomi (AA) grubu (n=85) ve laparoskopik apendektomi (LA) grubu (n=84) olarak iki gruba ayrıldı. Hastalar; yaş, cins, vücut kitle indeksi(VKİ), Charlson komorbidite indeksi, lökosit ve CRP düzeyleri, dren kullanımı, operasyon süresi(dakika), komplikasyon durumu, gıda başlama süresi, hastanede yatış süresi, patoloji sonuçları açısından değerlendirildi. Bulgular: Çalışmaya alınan 169 hastanın verileri incelendiğinde ortalama yaş 34.9(16-78), kadın erkek oranı 0.69 ve VKİ değeri ortalama 29(18.9-32.8) olarak saptanmıştır. AA grubu yaş ort. 33.9 iken LA grubunda yaş ort. 35.8 saptanmıştır. Hastaların cinsiyet, lökositoz durumu, ameliyat süresinde ve komplikasyon varlığında LA grubu ile AA grubu arasında anlamlı derecede farklılık olduğu belirlendi (p

DEMOGRAPHIC DIFFERENCES BETWEEN LAPAROSCOPIC AND OPEN APPENDECTOMY: SINGLE INSTITUTE EXPERIENCE

Introduction: After description is made by Fitz in 1886, acute appendicitis has taken place among the most common clinic conditions in general surgery. In our research, we aimed to investigate the differences between open and laparoscopic surgical interventions in patients diagnosed with acute appendicitis. Methods: In this research, in patients diagnosed with acute appendicitis between January 2017 and January 2018, have been evaluated retrospectively. Based on the interventions performed, patients were categorised as open appendectomy (OA) (n=85) and laparoscopic appendectomy (LA) (n=85). Patients have been evaluated in terms of age, gender, body mass index (BMI), Charlson comorbidity index, serum leukocyte and CRP levels, drain usage, operation duration (minute), complications observed, duration till first food intake, hospitalization duration and pathology results. Results: The evaluation of data collected from 169 patients revealed that total average age was 34.9(16-78), women to men ratio was 0.69 and mean BMI was 29(18.9-32.8). As average age for OA group was detected 33.9, it was 35.8 for the LA patients. There were statistically significant differences between LA and OA group , in terms of gender, leukocyte levels, operation duration and any complications observed (p

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İzmir Eğitim ve Araştırma Hastanesi Tıp Dergisi-Cover
  • ISSN: 1305-5151
  • Başlangıç: 1995
  • Yayıncı: İzmir Bozyaka Eğitim ve Araştırma Hastanesi