Sun Hao,Zhang Lei,Li Xiang,et al.Efficacies and advantages of laparoscopic appendectomy via abdominal wall suture needle in children[J].Journal of Clinical Pediatric Surgery,,18():771-774.[doi:10.3969/j.issn.1671-6353.2019.09.013]
Efficacies and advantages of laparoscopic appendectomy via abdominal wall suture needle in children
- Keywords:
- Appendectomy; Laparoscopy; Wounds and Injuries; Treatment Outcome; Child
- CLC:
- R574.61;R572;R656.3
- Abstract:
- Objective To explore the clinical efficacies and advantages of abdominal wall suture needle assisted laparoscopic appendectomy in children.Methods The clinical data of 55 hospitalized children with acute appendicitis from May 2016 to December 2017 were retrospectively analyzed.Among them,34 cases underwent abdominal wall puncture needle assisted operations and 21 cases were traditional three.Two groups were compared with regards to operative duration,intraoperative blood loss,anal exhaust time,postoperative hospital stay and postoperative incision infection rate,etc.Results All of them were cured and discharged.The follow-up period was 6-12 months.The operative duration of puncture needle and three-cut groups was(36.3±5.8)and(55.1±6.3)min and the difference was statistically significant(t=3.853,P<0.05); intraoperative blood loss(4.9±1.9)and(8.3±3.8)mL and there was no statistical difference(t=0.980,P>0.05); anus exhaust time(27.1±8.1)and(26.3±8.9)hours and there was no statistical difference(t=2.785,P<0.05); postoperative hospital stay(6.0±1.6)and(6.9±3.1)days and there was no statistical difference(t=0.432,P>0.05); rate of incision infection 2% and 3% and there was no statistical difference(χ2=0.030,P>0.05).Conclusion Puncture needle assisted laparoscopic appendectomy is both safe and effective for acute appendicitis in children.With a shorter operative duration,postoperative scar is more concealed and esthetic.
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Memo
收稿日期:2018-04-27。
基金项目:青岛市科技局惠民一般项目（编号：18-6-1-73-nsh）
通讯作者:张蕾,Email:leizhangg@163.com