Laparoscopic appendectomy for acute and chronic appendicitis
10.3760/cma.j.issn.1007-631X.2013.02.004
- VernacularTitle:腹腔镜阑尾切除术在急性和慢性阑尾炎中应用疗效的比较
- Author:
Youli WANG
;
Fan LIU
;
Yingjiang YE
;
Zhanlong SHEN
;
Mujun YIN
;
Kewei JIANG
;
Shan WANG
- Publication Type:Journal Article
- Keywords:
Appendicitis;
Appendectomy;
Laparoscopes
- From:
Chinese Journal of General Surgery
2013;(2):93-95
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical outcomes of laparoscopic appendectomy in acute and chronic appendicitis,and sum up the surgical experiences of lapaproscopic appendectomy.Method In this study 129 cases of appendicitis at the Department of Gastroentrological Surgery,Peking University People's Hosptial were collected retrospectively from June 2008 to December 2009.The clinical results of laparoscopic and open procedures for acute appendicitis and the outcomes of laparoscopic operation for acute and chronic appendicitis were compared.Results For acute appendicitis,the length of hospitalization [(4.8 ± 2.6) d vs.(7.0 ± 1.3) d,t =0.679,P =0.006] was significantly shorter in laparoscopic group than that in open surgery group.In addition,the mean length of operation time [(77 ± 33) min vs.(55 ± 23) min,t =3.431,P ＜0.01] were longer,postoperative first passing flatus [(2.3 ± 1.2) d vs.(1.4 ±0.9) d,t =4.665,P ＜0.01] and oral intake [(2.3 ± 1.4) d vs.(1.2 ±0.6) d,t =4.517,P＜0.01] were later for acute appendicitis patients than for chronic appendicitis in laparoscopic group.Conclusions Laparoscopic appendectomy for acute appendicitis is a safe and effective procedure,though it might cause more postoperative complications such as intra-abdominal abscess and small intestinal obstruction in patients with acute appendicitis.
