Upfront laparoscopic appendectomy vs conservative treatment for periappendiceal abscess

VernacularTitle:Ⅰ期腹腔镜手术与保守方法治疗阑尾周围脓肿的疗效分析
Author: Baolin SONG ; Abulikemu TUERHONG·
From: Chinese Journal of General Surgery 2021;36(3):208-210
CountryChina
Language:Chinese
Abstract: Objective:To compare the effect of one stage laparoscopic surgery and conservative treatment for periappendiceal abscess.Methods:From Jun 2013 to Jun 2020 116 patients with periappendiceal abscess were evenly divided into one stage appendectomy group and conservative treatment group . Clincal results were compared between the two groups .Results:The use of antibiotics in one stage operation group was shorter than that in the conservative group[5(4-6) d vs. 7(6-8)d , Z=-7.227, P=0.000], time to normal temperature was shorter[3(2-3) d vs. 5(4-5)d , Z=-7.809, P=0.000], Leukocyte count return to normal was quicker[4(3-5)d vs. 6(5-7) d , Z=-7.346, P=0.000], hospital stay was shorter[8(7-9) d vs. 14(13-15) d , Z=-9.293, P=0.000], hospital ecperss were less[8 848(8 434-9 073) yuan vs. 14 003(12 999-14 894) yuan, Z=-9.127, P=0.000], the rate of recurrent or residual abscess (7% vs.29%, χ 2=9.827, P=0.002) was lower, while effective rate was higher (93% vs. 79%, χ 2=4.640, P=0.031). Conclusion:One stage laparoscopic appendectomy for the treatment of periappendiceal abscess is safe and more economic , effective method.