A RETROSPECTIVE ANALYSIS OF 151 LAPAROSCOPIC APPENDICECTOMY CASES AT UNIVERSITY HOSPITAL TO STUDY LENGTH OF STAY, READMISSION AND COMPLICATION RATE

摘要

OBJECTIVE: To determine Length of stay from time of decision to point of discharge. To determine Readmission rate and ComplicationRate in terms of infection and reoperation in readmission patients, including Laparoscopic and converted Group.STUDY DESIGN: A Retrospective Study.PLACE AND DURATION: From 2nd December 2013 to 31st 2014 at Milton Keynes University Hospital.METHODOLOGY: Cases done by Emergency surgeon, eighty-nine male and sixty-two females including children were included in thestudy. To study impact of emergency Surgeon, None Emergency surgeries cases excluded. Data about age gender admission datedecision date and time discharge date and time. Readmission date and interventional procedure theatre entry and histology fromelectronic theatre and medical record entry searched and analysed.RESULTS: Total 151 laparoscopic Appendicectomies were done. 3.31% converted to open from Laparoscopic to openAppendicectomy. 3.9% patients were re-admitted. Four from laparoscopic group and two from converted from laparoscopy to open.Out of readmission laparoscopic group four were treated conservatively. 0ne out of four laparoscopic group required open port sitedrainage of haematoma. One of Converted to open group required radiological drainage of right iliac fossa collection. Overallcomplication rate was 1.3%, which required surgical or radiological intervention. Overall infection rate in Laparoscopic group 2.72%.Laparoscopic to open converted group had 40% infection rate. Intervention rate 20% and 72.2% of patients were discharged in lessthan 24 hours from the time of operation.CONCLUSION: After laparoscopic appendicectomy discharge rate is with other international studies. Laparoscopic appendicectomyre-admission rate is low. Infection rate in laparoscopic readmission is low compared to laparoscopic to convert to open group,outcome measure of quality improvement.