Obesity and appendicitis: Laparoscopy versus open technique
Yıl: 2020 Cilt: 36 Sayı: 1 Sayfa Aralığı: 105 - 109 Metin Dili: İngilizce DOI: 10.5578/turkjsurg.4714 İndeks Tarihi: 09-11-2020
Obesity and appendicitis: Laparoscopy versus open technique
Öz: Objective: The clinical results of obese patients who have undergone open or laparoscopic appendectomy, whether one technique is superior to theother is still not clearly known.In our study, we compared the clinical results of obese patients operated with laparoscopic or open technique for acuteappendicitis.Material and Methods: We performed retrospective analyses of patients operated for acute appendicitis between the dates of July 2016 and July 2019at Istinye University Faculty of Medicine Bahcesehir Liv Training and Research Hospital and Liv Hospital Ankara. Of the 241 patients whose height andweight information was accessible, 57 had a body mass index of 30 kg/m2 or higher. Eighteen of these patients underwent open surgery while theother 39 underwent laparoscopic surgery. The primary result criterion was complication ratio. Secondary criteria were operation time and length ofhospital stay.Results: Upon comparison of laparoscopic and open techniques in terms of intraoperative-postoperative complications (p= 0.01), operation time (p=0.02) statistically significant differences were found between the groups. However the mean length of hospital stay (p= 0.181) was similar in both groups.Conclusion: In obese appendicitis patients, the laparoscopic technique proved to be superior to the open technique in criteria such as perioperativepostoperative complications, operation time, and etc. Length of hospital stay was determined to be similar between the groups.
Anahtar Kelime: Obezite ve apandisit: Laparoskopi ile açık teknik karşılaştırılması
Öz: Giriş ve Amaç: Açık veya laparoskopik apendektomi yapılan obez hastaların klinik sonuçlarına göre, yöntemlerin birbirine üstünlüğünün olup olmadığı hala net olarak bilinmemektedir. Çalışmamızda akut apandisit nedeniyle laparoskopik veya açık yöntemle opere edilen obez hastaların klinik sonuçları karşılaştırıldı. Gereç ve Yöntem: Temmuz 2016-Temmuz 2019 tarihleri arasında, İstinye Üniversitesi Liv Hospital Bahçeşehir ve Liv Hospital Ankara hastanelerinde akut apandisit nedeniyle opere edilen hastaların retrospektif analizleri yapıldı. Boy ve kilosuna ulaşılabilen 241 hastanın 57’sinde beden kütle indeksi 30 kg/m2veya daha fazla idi. Bu hastaların 18’ine açık cerrahi, 39’una laparoskopik cerrahi uygulandı. Primer sonuç ölçütleri komplikasyon oranlarıydı. İkincil sonuçlar ameliyat süresi ve hastanede kalış süresi idi. Bulgular: Laparoskopik ve açık yöntem perioperatif-postoperatif komplikasyonlar (p= 0,01) ve operasyon süresi (p= 0,02) açısından kıyaslandığında gruplar arasında istatistiksel olarak anlamlı farklılıklar bulunmuştur. Ancak hastanede hastanede yatış süresi açısından gruplar arasında anlamlı fark yoktur (p= 0,181). Sonuç: Apandisit nedeniyle opere edilen obez hastalarda, laparoskopik yöntem ile opere edilen grupta açık yönteme kıyasla daha az perioperatifpostoperatif komplikasyonlar, daha kısa operasyon süresi gibi üstünlüklerin olduğu gözlendi. Gruplar arasında hastanede yatış süresinin benzer olduğu tespit edildi.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | ÖZOZAN Ö, GULDOGAN C, Gundogdu E, ozmen m (2020). Obesity and appendicitis: Laparoscopy versus open technique. , 105 - 109. 10.5578/turkjsurg.4714 |
| Chicago | ÖZOZAN Ömer Vefik,GULDOGAN Cem Emir,Gundogdu Emre,ozmen mehmet mahir Obesity and appendicitis: Laparoscopy versus open technique. (2020): 105 - 109. 10.5578/turkjsurg.4714 |
| MLA | ÖZOZAN Ömer Vefik,GULDOGAN Cem Emir,Gundogdu Emre,ozmen mehmet mahir Obesity and appendicitis: Laparoscopy versus open technique. , 2020, ss.105 - 109. 10.5578/turkjsurg.4714 |
| AMA | ÖZOZAN Ö,GULDOGAN C,Gundogdu E,ozmen m Obesity and appendicitis: Laparoscopy versus open technique. . 2020; 105 - 109. 10.5578/turkjsurg.4714 |
| Vancouver | ÖZOZAN Ö,GULDOGAN C,Gundogdu E,ozmen m Obesity and appendicitis: Laparoscopy versus open technique. . 2020; 105 - 109. 10.5578/turkjsurg.4714 |
| IEEE | ÖZOZAN Ö,GULDOGAN C,Gundogdu E,ozmen m "Obesity and appendicitis: Laparoscopy versus open technique." , ss.105 - 109, 2020. 10.5578/turkjsurg.4714 |
| ISNAD | ÖZOZAN, Ömer Vefik vd. "Obesity and appendicitis: Laparoscopy versus open technique". (2020), 105-109. https://doi.org/10.5578/turkjsurg.4714 |
| APA | ÖZOZAN Ö, GULDOGAN C, Gundogdu E, ozmen m (2020). Obesity and appendicitis: Laparoscopy versus open technique. Turkish Journal of Surgery, 36(1), 105 - 109. 10.5578/turkjsurg.4714 |
| Chicago | ÖZOZAN Ömer Vefik,GULDOGAN Cem Emir,Gundogdu Emre,ozmen mehmet mahir Obesity and appendicitis: Laparoscopy versus open technique. Turkish Journal of Surgery 36, no.1 (2020): 105 - 109. 10.5578/turkjsurg.4714 |
| MLA | ÖZOZAN Ömer Vefik,GULDOGAN Cem Emir,Gundogdu Emre,ozmen mehmet mahir Obesity and appendicitis: Laparoscopy versus open technique. Turkish Journal of Surgery, vol.36, no.1, 2020, ss.105 - 109. 10.5578/turkjsurg.4714 |
| AMA | ÖZOZAN Ö,GULDOGAN C,Gundogdu E,ozmen m Obesity and appendicitis: Laparoscopy versus open technique. Turkish Journal of Surgery. 2020; 36(1): 105 - 109. 10.5578/turkjsurg.4714 |
| Vancouver | ÖZOZAN Ö,GULDOGAN C,Gundogdu E,ozmen m Obesity and appendicitis: Laparoscopy versus open technique. Turkish Journal of Surgery. 2020; 36(1): 105 - 109. 10.5578/turkjsurg.4714 |
| IEEE | ÖZOZAN Ö,GULDOGAN C,Gundogdu E,ozmen m "Obesity and appendicitis: Laparoscopy versus open technique." Turkish Journal of Surgery, 36, ss.105 - 109, 2020. 10.5578/turkjsurg.4714 |
| ISNAD | ÖZOZAN, Ömer Vefik vd. "Obesity and appendicitis: Laparoscopy versus open technique". Turkish Journal of Surgery 36/1 (2020), 105-109. https://doi.org/10.5578/turkjsurg.4714 |
