Comparison of the curative effect of transumbilical single hole and routine laparoscope appendectomy
10.3760/cma.j.issn.1008-6706.2014.19.035
- VernacularTitle:经脐单孔与常规腹腔镜阑尾切除术的疗效比较
- Author:
Hai XIANG
- Publication Type:Journal Article
- Keywords:
Appendectomy;
Laparoscopy;
Appendicitis;
Controlled clinical trial
- From:
Chinese Journal of Primary Medicine and Pharmacy
2014;(19):2967-2968
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the curative effect of transumbilical single port laparoscopic appendectomy and conventional laparoscope appendectomy .Methods 80 cases with acute appendicitis were divided into single hole group and routine group according to the operation mode ,40 cases in each group .The two groups were given transum-bilical single port laparoscopic appendectomy and conventional laparoscopic appendectomy ,respectively.The clinical efficacy was compared between the two groups .Results The patients in two groups were given successful operation without converted laparotomy .The postoperative anal exhaust time of the single hole group was (21.7 ±6.2)h,which was significantly shorter than that in the routine group [(26.9 ±7.3)h](t=2.18,P<0.05).However,the operation time,intraoperative bleeding amount ,postoperative length of stay ,intraoperative and postoperative complication had no obviously statistical differences between two groups (P>0.05).The patients were followed up for 3-21 months,no appendix stump inflammation , appendiceal stump fistula , adhesive ileus and other remote complication appeared . Conclusion Transumbilical single hole has safe and minimal invasive advantages on appendectomy , which can be favorable for the postoperative recovery of bowel function and cosmetic result .If it′s difficult to excise appendix , relevant operation skills shall be applied in accordance with the appendiceal lesions ,which can effectively reduce the occurrence of complication .
