Clinical Analysis of 22 Cases of Pediatric Periappendicural Abscess Treated with Laparoscopic Surgery

VernacularTitle:腹腔镜手术治疗小儿阑尾周围脓肿22例报告
Author: Yufeng CHEN ; Hualei CUI ; Guibin LI
Keywords: Children; Periappendicural abscess; Laparoscopy
From: Chinese Journal of Minimally Invasive Surgery 2017;17(9):787-789
CountryChina
Language:Chinese
Abstract: Objective To explore the feasibility of laparoscopic surgery in the treatment of pediatric periappendicural abscess.Methods A total of 22 cases of pediatric periappendicural abscess were treated with laparoscopic surgery from April 2013 to May 2016.In the operation, we performed the separation from the side of the abdominal wall and abscess adhesion, and then lifted the abscess for blunt separation into the abscess cavity.After the management of appendix stump, the abdominal cavity was washed and a peritoneal drainage tube was placed.Results Laparoscopic appendectomy was performed successfully in all the cases.No conversion to open laparotomy was needed.The operation time was (65.3±8.2) min, the intraoperative blood loss was (10.5±4.2) ml, and the postoperative hospitalization was (6.5±1.4) days.Follow-ups for 6-24 months (mean, 12 months) in the 22 cases found no complications, such as abdominal abscess, stump fistula, stump appendicitis or adhesive ileus.Conclusion The application of laparoscopic surgery in the treatment of pediatric periappendicural abscess is feasible and safe.