Comparison of the effect of laparoscopic and open appendectomy in the treatment of perforated appendicitis
10.3760/cma.j.issn.1008-6706.2015.18.003
- VernacularTitle:腹腔镜与开腹阑尾切除术治疗穿孔性阑尾炎的效果比较
- Author:
Zhifang GUO
;
Jiangping WANG
;
Huaxiong GENG
;
Ruihong LIU
- Publication Type:Journal Article
- Keywords:
Appendicitis;
Intestinal perforation;
Laparoscopy;
Surgical procedures,Operative
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;(18):2727-2728,2729
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical effect of laparoscopic and open appendectomy in the treat-ment of perforated appendicitis.Methods 107 patients with perforated appendicitis were selected as the research object and were divided into two groups.The observation group(54cases)received laparoscopic appendectomy while the control group (53cases)received traditional open appendectomy.The size of incision,the amount of bleeding during operation,time of operation and hospitalization and other perioperative indexes and the incidence rate of complications were compared between the two groups.Results The operation time between the two groups had no statistical significance(t =1.286,P >0.05 ).The incision size [(2.5 ±0.3)cm],the amount of intraoperative bleeding[(10.3 ±3.4)mL]and hospitalization time[(5.4 ±0.9)d]of the observation group were better than those of (4.2 ±0.4)cm,(19.4 ±4.2)mL and (6.5 ±1.1 )d in the control group,the differences were statistically significant(t =24.901,12.329,5.666,all P <0.05).The occurrence rate of complications of the observation group was 3.4%,which was lower than 15.1% of the control group,the difference was statistically significant(χ2 =3.940, P <0.05 ).Conclusion Laparoscopic appendectomy has the advantages of less trauma,faster recovery,less complications,shorter hospitalization time,etc.And its effect is better than open appendectomy and worthy of populari-zation and application.
