Hu Tao,Huang Guangbin,Gao Heyun,et al.Clinical application of self-inflicted ligation line during transumbilical laparoscopic single-hole appendectomy in children[J].Journal of Clinical Pediatric Surgery,,21():871-875.[doi:10.3760/cma.j.cn101785-202201023-014]
Clinical application of self-inflicted ligation line during transumbilical laparoscopic single-hole appendectomy in children
- Keywords:
- Appendicitis/SU; Laparoscopes; Sutures; Foreign-Body Reaction
- Abstract:
- Objective To assess the efficacy and safety of self-inflicted ligation line for transumbilical single-hole laparoscopic appendectomy in children.Methods From May 2019 to September 2021, a total of 64 cases of children with appendicitis treated with single-hole laparoscopic surgery were retrospectively analyzed, divided into observation group and control group.The observation group was homemade SMC knot or Nicky’s ligature cord ligation of the root of the appendix (44 cases), and the control group was conventional instrument knotting treatment of the root of the appendix (20 cases).The length of surgery, the length of knotting, the length of intraoperative blood loss, the presence or absence of open abdomen or switch, the absence of bleeding after surgery, the abdominal abscess, the fistula of the appendix, the injury of the intestinal tube and the incision infection were compared in the observation group and the control group, and the postoperative follow-up of the children in each group was recorded.Results All the children successfully completed the operation, none of them had a case of open abdomen, no cases of re-operation, no complications such as postoperative bleeding, abdominal abscess, appendix stump leakage, intestinal canal injury and incision infection, and were all cured and discharged from the hospital.The operative duration of the observation and the control groups was (52.4±17.0) vs.(50.6±17.3) min, the knotting duration (5.32±0.36) vs.(5.14±0.34) min, and the intraoperative blood loss (6.4±1.7) vs.(6.5±1.3) mL, and those showed no significant statistically differences(P>0.05).During an outpatient follow-up period of 3 to 29 months, there was no onset of incisional hernia, appendicitis, adhesive intestinal obstruction or chronic sinus formation.Conclusion Single-hole laparoscopy for uncomplicated appendicitis in children, using silk thread homemade SMC or Nicky’s knot tying, may manage appendiceal root safely and reliably.Operation is both simple and practical with an excellent clinical application value.
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Memo
收稿日期:2022-05-23。
基金项目:武汉大学自主科研项目（2042020kf0153）
通讯作者:张文,Email:wzhang115@163.com