The effect of transabdominal wall suspended laparoscopic appendectomy for acute suppurative appendicitis and periappendiceal abscess
10.3760/cma.j.cn115455-20230905-00209
- VernacularTitle:经腹壁悬吊阑尾法在急性化脓性阑尾炎和阑尾周围脓肿腹腔镜阑尾切除术中的效果观察
- Author:
Zhentao HU
1
;
Yanhua WU
;
Yajun HUA
Author Information
1. 河西学院附属张掖人民医院普外科，张掖 734000
- Keywords:
Appendicitis;
Appendectomy;
Laparoscopes;
Comparative study
- From:
Chinese Journal of Postgraduates of Medicine
2024;47(7):636-640
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the application value of transabdominal wall suspended laparoscopic appendectomy (LA) in patients with acute suppurative appendicitis or concurrent periappendiceal abscess.Methods:The clinical data of 107 patients with acute suppurative appendicitis or concurrent periappendiceal abscess in Hexi University, Zhangye People′s Hospital from September 2019 to December 2022 were retrospectively analyzed. Among them, 53 patients underwent open appendectomy (OA) (OA group), and 54 patients underwent transabdominal wall suspended LA (LA group). The operation time, postoperative pain score, postoperative hospitalization time, recovery time of gastrointestinal function, postoperative complications and hospital cost were compared between two groups.Results:In the LA group, 2 cases were transferred to OA due to heavy abdominal adhesion and unclear anatomy, and 3 cases could not undergo transabdominal wall suspended LA due to perforation of the root of the appendix or gangrene of the appendix. There was no statistical difference in operation time between two groups ( P>0.05); the postoperative hospitalization time, recovery time of gastrointestinal function, postoperative pain score and total incidence of postoperative complications in LA group were significantly lower than those in OA group: (4.92 ± 1.70) d vs. (7.51 ± 3.96) d, (20.64 ± 7.37) h vs. (35.32 ± 10.13) h, (5.62 ± 1.12) scores vs. (6.83 ± 0.93) scores and 5.56% (3/54) vs. 24.53% (13/53), the hospital cost was significantly higher than that in OA group: (8 325.47 ± 856.22) yuan vs. (6 458.64 ± 2 085.93) yuan, and there were statistical differences ( P<0.05). Conclusions:Transabdominal wall suspended LA has the advantages of wide indications, easy operation, minimal trauma, fast recovery, and fewer complications, but with relatively high hospitalization cost.
