BIẾN CHỨNG, THỜI GIAN NẰM VIỆN VÀ CÁC YẾU TỐ LIÊN QUAN SAU PHẪU THUẬT NỘI SOI ĐIỀU TRỊ VIÊM RUỘT THỪA CẤP TẠI BỆNH VIỆN NGUYỄN TRI PHƯƠNG

Abstract

Objective: This study aims to evaluate hospital stay, complication rate, and associated factors following laparoscopic appendectomy for acute appendicitis at Nguyen Tri Phuong Hospital. Methods: A retrospective study was conducted on 180 patients diagnosed with acute appendicitis and treated with laparoscopic appendectomy at Nguyen Tri Phuong Hospital from January 1, 2018, to December 31, 2018. Patient characteristics, laboratory findings, CT-scan imaging, surgical techniques, time from admission to surgery, hospital stay, and postoperative complications were analyzed. Linear regression was used to identify factors influencing hospital stay, while logistic regression assessed factors associated with complications. Results: A total of 180 patients were included, with a mean age of 44.5 ± 17.2 years. The mean hospital stay was 6.8 ± 3.3 days. Factors significantly correlated with hospital stay included: Mean CRP (R = 0.332, p = 0.012), Appendix size (R = 0.262, p = 0.03), Time from admission to surgery (R = 0.303, p < 0.001), The complication rate was 2.2%, including 3 cases of intra-abdominal abscess (1.7%) and 1 case of bowel obstruction (0.6%). Mean Neutrophil percentage was the only factor significantly associated with complications (p = 0.005). Conclusion: Laparoscopic appendectomy is an effective and safe treatment, with a low complication rate (2.2%) and relatively rapid recovery. Mean CRP, appendix size, and time from admission to surgery were found to influence hospital stay, while Neutrophil percentage was associated with postoperative complications. Early diagnosis and timely intervention play a crucial role in optimizing treatment outcomes.