Factors affecting the length of hospital stay after laparoscopic appendectomy: A single center study

作者：Peng Zhang, Qian Zhang, Hongwei Zhao, Yuanxin Li · 发表于：PLoS ONE · 年份：2020 · DOI：10.1371/journal.pone.0243575 · 被引用次数：24 · 研究领域：Appendicitis Diagnosis and Management、Minimally Invasive Surgical Techniques、Intraperitoneal and Appendiceal Malignancies

AIM: This study aimed to explore factors may affect the length of hospital stay after laparoscopic appendectomy. METHODS: The data of 636 patients undergoing laparoscopic appendectomy between July 2016 and July 2019 in Beijing Tsinghua Changgung Hospital were retrospectively analyzed. The patients were divided into group A (hospital stay ≤3 days, 348 patients) and group B (hospital stay >3 days, 288 patients) according to their hospital stay.Sex, age, disease onset time(time from onset to admission), nausea, vomiting, diarrhea, peritonitis, comorbidities, and history of appendicitis; preoperative body temperature (T), white blood cell (WBC) count, percentage of neutrophilic granulocytes, and preoperative C-reactive protein (CRP) level; time from diagnosis to surgery. appendix diameter, appendicolith, and ascites in ultrasound or CT; surgical time(the surgery start time was the time of skin incision, and the end time was the time the anesthesia intubation was removed), intraoperative blood loss (the volume of blood infiltrating into a gauze was calculated by weighing the gauze infiltrated with water and calculating the volume of water), intraoperative adhesions or effusions, and stump closure methods, convert to open appendectomy, appendix pathology(perforated or gangrenous appendicitis were defined as complicated appendicitis and simple or suppurative appendicitis were defined as uncomplicated appendicitis) and antibiotic treatment schemes were analyzed. RESULTS: Significant ...