지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.91 No.2
- 발행연도
- 2016.7
- 수록면
- 85 - 89 (5page)
이용수
초록· 키워드
오류제보하기
Purpose: This study was aimed to evaluate the effect of time of surgery for acute appendicitis on surgical outcomes to optimize the timing of appendectomies.
Methods: Medical records of patients who underwent an appendectomy were reviewed to obtain data on time of symptom onset, time of hospital presentation, and start times of surgery. Surgical findings were used to define appendicitis as either uncomplicated or complicated. The uncomplicated group included patients with simple, focal, or suppurative appendicitis, and the complicated group included patients with gangrenous, perforated appendicitis or periappendiceal abscess formation. The 2 groups were analyzed by age, sex, and time.
Results: A total of 192 patients were analyzed. The mean time from symptom onset to start of operation showed a significant difference between both groups (1,652.9 minutes vs. 3,383.8 minutes, P ＜ 0.001). The mean time from hospital visit to start of operation showed no difference between both groups (398.7 minutes vs. 402.0 minutes, P = 0.895). Operating within 24 hours of symptom onset had a relative risk of 1.738 (95% confidence interval, 1.319–2.425) for complications. Operating more than 36 hours after symptom onset was associated with an increased risk of postoperative ileus and a longer hospital stay.
Conclusion: Complicated appendicitis is associated with a delay in surgery from symptom onset rather than a delay at hospital arrival. Surgeons should take into account the time from symptom onset when deciding on the timing of appendectomy. We recommend that appendectomy be performed within 36 hours from symptom onset.
Methods: Medical records of patients who underwent an appendectomy were reviewed to obtain data on time of symptom onset, time of hospital presentation, and start times of surgery. Surgical findings were used to define appendicitis as either uncomplicated or complicated. The uncomplicated group included patients with simple, focal, or suppurative appendicitis, and the complicated group included patients with gangrenous, perforated appendicitis or periappendiceal abscess formation. The 2 groups were analyzed by age, sex, and time.
Results: A total of 192 patients were analyzed. The mean time from symptom onset to start of operation showed a significant difference between both groups (1,652.9 minutes vs. 3,383.8 minutes, P ＜ 0.001). The mean time from hospital visit to start of operation showed no difference between both groups (398.7 minutes vs. 402.0 minutes, P = 0.895). Operating within 24 hours of symptom onset had a relative risk of 1.738 (95% confidence interval, 1.319–2.425) for complications. Operating more than 36 hours after symptom onset was associated with an increased risk of postoperative ileus and a longer hospital stay.
Conclusion: Complicated appendicitis is associated with a delay in surgery from symptom onset rather than a delay at hospital arrival. Surgeons should take into account the time from symptom onset when deciding on the timing of appendectomy. We recommend that appendectomy be performed within 36 hours from symptom onset.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (23)
참고문헌 신청
[학술지(정기간행물)] - Korner H. / 1997 / Inci dence of acute nonperforated and perforated appendicitis : age-specific and sexspecific analysis / World J Surg 21 : 3137 ~
[학술지(정기간행물)] - Busch M. / 2011 / In-hospital delay increases the risk of perforation in adults with appendicitis / World J Surg 35 : 1626 ~ 1633
[학술지(정기간행물)] - Ditillo MF. / 2006 / Is it safe to delay appendectomy in adults with acute appendicitis? / Ann Surg 244 : 656 ~ 660
[학술지(정기간행물)] - Giraudo G. / 2013 / Prompt or delayed appendectomy? Influence of timing of surgery for acute appendicitis / Surg Today 43 : 392 ~ 396
[학술지(정기간행물)] - Omundsen M. / 2006 / Delay to appendicectomy and associated morbi dity : a retrospective review / ANZ J Surg 76 : 153 ~ 155
[학술지(정기간행물)] - Busch M. / 2011 / In-hospital delay increases the risk of perforation in adults with appendicitis / World J Surg 35 : 1626 ~ 1633
[학술지(정기간행물)] - Ditillo MF. / 2006 / Is it safe to delay appendectomy in adults with acute appendicitis? / Ann Surg 244 : 656 ~ 660
[학술지(정기간행물)] - Giraudo G. / 2013 / Prompt or delayed appendectomy? Influence of timing of surgery for acute appendicitis / Surg Today 43 : 392 ~ 396
[학술지(정기간행물)] - Omundsen M. / 2006 / Delay to appendicectomy and associated morbi dity : a retrospective review / ANZ J Surg 76 : 153 ~ 155
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UCI(KEPA) : I410-ECN-0101-2017-514-001019781