Influence of operation opportunity on the prognosis of acute appendicitis

doi:10.19538/j.cjps.issn1005-2208.2017.02.19

Abstract：Objective To investigate the effect of different operation time on the prognosis of patients with acute appendicitis. Methods The clinical data of 428 patients admitted between January 2014 and May 2016 in the Fourth Affiliated Hospital of China Medical University were analyzed retrospectively. A total of 328 patients with the onset of the disease within 72 h was brought into the 72 h surgery group, while 100 patients were brought into the delayed surgery group after 72 h, The relationship between the different operation opportunity and the time of hospitalization, the time of operation, the cost of operation, the exhaust time, the rate of conversion to open surgery, the incidence of postoperative complications were analyzed. Results The cost of hospitalization in the delayed surgery group was higher than that in the 72 h surgery group, but the operation time, hospitalization time, exhaust time, conversion to open surgery rate and postoperative complications were not different significantly. Conclusion For patients with onset time more than 72h, the primary operation treatment including laparoscopic appendectomy is also feasible, so as to avoid the second admission surgery, shorten the length of hospitalization, reduce the cost, and reduce the pain of patients.