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Unmodifiable Clinicopathological Risk Factors of Shoulder Tip or Subcostal Pain after Laparoscopic Appendectomy by Bomi Kim; Jungbin Kim; Inseok Park; Hyunjin Cho; Geumhee Gwak; Keun Ho Yang; Byung-Noe Bae; Kihwan Kim is a Medicine article available to read on EtoBox.

What is Unmodifiable Clinicopathological Risk Factors of Shoulder Tip or Subcostal Pain after Laparoscopic Appendectomy about?

## Purpose Appendectomy, which comprises most benign intra-abdominal surgeries, is currently assisted by laparoscopy in most cases. However, many patients complain of postoperative shoulder or subcostal pain after laparoscopic surgery. In some cases, the pain lasts even several weeks after surgery. This study aimed to analyze unmodifiable clinicopathological factors of patients who underwent laparoscopic appendectomy and to minimize preoperative and postoperative discomfort. ## Methods Patients admitted for laparoscopic appendectomy for acute appendicitis with an American Society of Anesthesiology (ASA) grades I and II, and ages 12~70 years were enrolled in the study. Postoperative shoulder or subcostal pain was assessed using the visual analogue scale (VAS) for pain and analyzed with the clinicopathological factors of the patients, including age, sex, weight, height, body mass index (BMI), and abdominal circumference (AC) difference. ## Results Of the 124 patients, 40 complained of postoperative shoulder or subcostal pain with a VAS score of ≥4. The risk of the postoperative shoulder or subcostal pain increased in women (__p__=0.001). From a univariate analysis, the risk of postop

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Author
Bomi Kim; Jungbin Kim; Inseok Park; Hyunjin Cho; Geumhee Gwak; Keun Ho Yang; Byung-Noe Bae; Kihwan Kim
Publisher
The Korean Society of Endoscopic and Laproscopic Surgeons
Published
2020
Language
EN
Field
Medicine (Health Sciences)

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