Cai Bao,Xu Bing,Hu Yaozong,et al.Comparative study on the postoperative recovery effect of Laparoscopic versus open appendectomy in the perforated appendicitis in children.[J].Journal of Clinical Pediatric Surgery,,17():223-225.
Comparative study on the postoperative recovery effect of Laparoscopic versus open appendectomy in the perforated appendicitis in children.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 03
Page:
223-225
Column:
论著
Date of publication:
2018-03-28
- Keywords:
- Laparoscopes; Laparotomy; Appendicitis; Treatment Outcome; Comparative Study; Child
- Document code:
- A
- Abstract:
- ObjectiveTo compare the postoperative recovery effect of laparoscopic and open appendectomy in children with perforated appendicitis.MethodsA retrospective analysis was conducted on 148 cases with perforated appendicitis in Anqing Hospital Affiliated to Anhui Medical University from October 2013 to September 2016.In the cohort,68 cases were treatment with laparoscopic procedure (LA group) and 80 cases were treatment by open appendectomy (OA group).The complications and therapeutic effects were compared between the two groups.ResultsPostoperative exercise time was significantly shorter in the LA group than in the OA group (18.2 h±2.4 h vs 25.5 h±4.7 h,t=4.15,P<0.001).The time required for postoperative restoration of anal exhaust was significantly shorter in the LA group than in the OA group (32.6 h±8.4 h vs 53.0 h±6.5 h,t=5.75,P<0.001).Hospitalization time in the LA group was significantly shorter than that in the OA group (7.0 d±1.4 d vs 9.3 d±2.3 d,t=2.49,P<0.05).Wound infection occurred in 1 child in the LA group and in 15 children in the OA group (P<0.001).Postoperative abdominal residual infection occurred in 7 children in the OA group and no infection in the LA group.(χ2=11.38,P<0.001).Bowel obstruction occurred in 1 child in the LA group and in 8 children in the OA group (χ2=4.68,P<0.05).ConclusionLA has many advantages over OA in the treatment of perforated appendicitis in children,such as early recovery,short hospital stay,and low complication rate.Therefore,LA is a satisfactory method in the treatment of perforated appendicitis in children.
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