Comparison of the effects of laparoscopic appendectomy and open appendectomy in the treatment of acute appendicitis perforation
10.3760/cma.j.issn.1008-6706.2019.06.005
- VernacularTitle:腹腔镜与开腹阑尾切除术治疗穿孔性阑尾炎疗效比较
- Author:
Ershuai LI
1
Author Information
1. 山西省
- Keywords:
Appendicitis;
Appendectomy;
Laparoscopy
- From:
Chinese Journal of Primary Medicine and Pharmacy
2019;26(6):657-660
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the efficacy of laparoscopic appendectomy and open appendectomy in the treatment of acute appendicitis perforation. Methods A total of 100 cases with acute perforated appendicitis who received surgery in Xinzhou People's Hospital From January 2015 to June 2017 were selected and randomly divided into control group and observation group,with 50 cases in each group. The control group underwent open appendectomy, the observation group underwent laparoscopic appendectomy. The surgery condition,postoperative recovery,complications, immune function were compared between the two groups. Results The operation time,incision length in the observation group were (63. 87 ± 7. 91)min,(2. 07 ± 0. 84) cm,respectively,which were shorter than those in the control group [(74. 53 ±10. 68)min,(3. 95 ±1. 26)cm](t =5. 672,8. 779,all P <0. 05). The amount of bleeding in the observation group was (94. 32 ± 31. 45)mL,which was less than that in the control group[(206. 85 ±87. 39)mL](t =8. 567,P <0. 05). The recovery time,hospitalization time in the observation group were (2. 34 ± 0. 86) d,(4. 05 ± 1. 12) d, respectively,which were significantly shorter than those in the control group[(3. 29 ± 1. 05)d,(5. 76 ± 1. 69)d](t =4. 949,5. 964, all P < 0. 05). The incidence rate of complication of the observation group was 4％ , which was significantly lower than 18％ of the control group (χ2 = 5. 005,P < 0. 05). Before surgery,the CD +3 ,CD4 / CD8 ,NK cells and other immune function indicators between the two groups had no statistically significant differences( t =0. 218,0. 370,0. 202,all P > 0. 05),and after operation,the indicators of immune function in the observation group were higher than those in the control group(t = 5. 787,4. 816,4. 339,all P < 0. 05). Conclusion In the treatment of acute perforated appendicitis,laparoscopic appendectomy compared to open appendectomy has more advantages,such as shorter operation time, less bleeding, smaller incision, less postoperative complications, quick recovery after operation,but also can reduce the influence of surgical trauma on immune function in patients,it is conducive to the improvement of the prognosis of the patients.
