Comparison of the clinical effects among single-incision laparoscopic appendectomy, laparoscopic appendectomy and open appendectomy in elderly patients with acute appendicitis
10.3760/cma.j.issn.0254-9026.2019.11.018
- VernacularTitle: 老年急性阑尾炎患者单孔腹腔镜和腹腔镜与开腹阑尾切除术的对比研究
- Author:
Jian FENG
1
;
Naiqiang CUI
2
Author Information
1. Ambulatory Surgery Center, Nankai Hospital, Tianjin 300100, China
2. the First Department of Hepatobiliary and Pancreatic Surgery, Nankai Hospital, Tianjin 300100, China
- Publication Type:Journal Article
- Keywords:
Appendicitis;
Laparoscope;
Appendectomy
- From:
Chinese Journal of Geriatrics
2019;38(11):1266-1269
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the clinical effects among single-incision laparoscopic appendectomy(SILA), laparoscopic appendectomy(LA)and open appendectomy(OA)in the treatment of elderly patients with acute appendicitis.
Methods:A total of 98 consecutive elderly patients undergoing appendectomy in our hospital from November 2014 to December 2016 were retrospectively selected.Among them, 31 patients underwent SILA, 35 underwent LA and 32 underwent OA.The operation time, the first exhaust time after operation, length of hospital stay, Numerical Rating Scale(NRS)pain score, wound infection rate and incidence of postoperative complications were compared between the three groups.
Results:The postoperative venting time and length of hospital stay were shorter, NRS was less, wound infection rate and incidence of postoperative complications were lower in the SILA and LA groups than in the OA group[(21.5±5.2) h, (22.1±5.4) h vs.(24.8±5.8) h, (4.5±1.3) d, (4.8±1.4) d vs.(9.4±1.5) d, (3.7±0.5), (4.1±0.7) vs. (6.3±0.9), 0%, 0% vs. 12.5%, 9.7% or 3/31, 14.3% or 5/35 vs. 43.8% or 14/32, respectively, P<0.05), while the operative time was less in the LA and OA groups than in the SILA group(45.4±10.5) min, (48.6±1.4) min vs.(73.2±12.3)min, P<0.05). The incision NRS pain score was lower in the SILA group than in the LA and OA groups(3.7±0.5 in SILA vs.4.1±0.7 in LA vs. 6.3±0.9 in OA, P<0.05).
Conclusions:LA has advantages of less trauma, less pain, quicker recovery, fewer complications and beautiful incisions.SILA has less pain than LA, but needs longer operative time.SILA is worthy of promotion in the treatment of acute appendicitis especially in the elderly, but still needs further improvement.
