Efficacy and complications of laparoscopic appendectomy

doi:10.3877/cma.j.issn.1674-0793.2015.06.016

Abstract

Abstract:

Objective

To compare the efficacy and complications between laparoscopic appendectomy (LA) and open appendectomy (OA).

Methods

One hundred and eighteen appendicitis patients undergoing appendectomy were chosen from January 2014 to May 2015. All the cases were divided into the trial group (59 cases, received LA) and the control group (59 cases, received OA). The clinical efficacy and complications of two groups and the outcome of LA for acute and chronic appendicitis were compared.

Results

Compared with control group, the operation time increased in the trial group, while hospital stay, postoperative first bed-off time, passing flatus, and first food-taking shortened; usage of anesthetics within 24 h reduced, and hospitalization expenses increased (t=14.342, 6.916, 4.166, 9.527, 8.036, χ²=5.950, t=32.663, P<0.05). In the trial group, compared with 25 cases with chronic appendicitis, the other 34 cases with acute appendicitis had longer operation time, hospital stay, time of postoperative first passing flatus and first food-taking, more intraoperative blood loss (t=8.195, 1.776, 5.329, 4.337, 3.757, P<0.05). The levels of WBC, CRP at 24 h, 48 h after operation in the trial group were significantly lower than those in control group (P<0.05). The incidence of wound infection, celiac abscess and total incidence in experimental group were significantly lower than those in control group (χ²=4.827, 4.140, 10.602, P<0.05).

Conclusion

LA is safe and effective in the treatment of acute and chronic appendicitis, which can reduce the postoperative complications and promote postoperative recovery.

Key words: Appendectomy, Laparoscope, Complications

Renbin Shen, Jianhua Zhu, Zheng Yuan. Efficacy and complications of laparoscopic appendectomy[J]. Chinese Archives of General Surgery(Electronic Edition), 2015, 09(06): 483-486.

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Figures/Tables 4

References 16

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组别	例数	手术时间（ ± s,min）	术中出血量（ ± s,ml）	住院时间（ ± s,d）	24 h镇痛药物使用率［例（%）］	术后首次排气时间（ ± s,d）	术后首次进食术后首次下床时间（ ± s,d）时间（ ± s,d）		住院费用（ ± s,元）
试验组	59	66.7±11.6	10.8±4.1	4.7±1.2	11(18.6)	1.3±0.4	1.5±0.5	1.4±0.6	5 471.5±147.2
对照组	59	40.6±7.8	12.1±4.3	6.8±2.0	23(39.0)	2.3±0.9	2.4±0.7	1.9±0.7	4 410.7±201.4
t/χ²值	?	14.342	1.681	6.916	5.950	9.527	8.036	4.166	32.663
P值	?	<0.01	>0.05	<0.01	<0.05	<0.05	<0.01	<0.01	<0.01

组别	例数	手术时间（ ± s,min）	术中出血量（ ± s,ml）	住院时间（ ± s,d）	24 h镇痛药物使用率［例（%）］	术后首次排气时间（ ± s,d）	术后首次进食术后首次下床时间（ ± s,d）时间（ ± s,d）		住院费用（ ± s,元）
试验组	59	66.7±11.6	10.8±4.1	4.7±1.2	11(18.6)	1.3±0.4	1.5±0.5	1.4±0.6	5 471.5±147.2
对照组	59	40.6±7.8	12.1±4.3	6.8±2.0	23(39.0)	2.3±0.9	2.4±0.7	1.9±0.7	4 410.7±201.4
t/χ²值	?	14.342	1.681	6.916	5.950	9.527	8.036	4.166	32.663
P值	?	<0.01	>0.05	<0.01	<0.05	<0.05	<0.01	<0.01	<0.01

组别	例数	手术时间（ ± s,min）	术中出血量（ ± s,ml）	住院时间（ ± s,d）	24 h镇痛药物使用率［例（%）］	术后首次排气时间（ ± s，d）	术后首次进食时间（ ± s，d）	术后首次下床时间（ ± s，d）
急性阑尾炎亚组	34	75.7±11.7	13.5±4.7	4.9±1.4	6(18.6)	1.5±0.5	1.6±0.6	1.5±0.6
慢性阑尾炎亚组	25	50.8±11.3	9.2±3.8	4.3±1.1	5(39.0)	0.9±0.3	1.0±0.4	1.3±0.5
t/χ²值	?	8.195	3.757	1.776	0.053	5.329	4.337	1.355
P值	?	<0.01	<0.01	<0.05	>0.05	<0.01	<0.01	>0.05

组别	例数	手术时间（ ± s,min）	术中出血量（ ± s,ml）	住院时间（ ± s,d）	24 h镇痛药物使用率［例（%）］	术后首次排气时间（ ± s，d）	术后首次进食时间（ ± s，d）	术后首次下床时间（ ± s，d）
急性阑尾炎亚组	34	75.7±11.7	13.5±4.7	4.9±1.4	6(18.6)	1.5±0.5	1.6±0.6	1.5±0.6
慢性阑尾炎亚组	25	50.8±11.3	9.2±3.8	4.3±1.1	5(39.0)	0.9±0.3	1.0±0.4	1.3±0.5
t/χ²值	?	8.195	3.757	1.776	0.053	5.329	4.337	1.355
P值	?	<0.01	<0.01	<0.05	>0.05	<0.01	<0.01	>0.05

组别	例数	WBC（×10⁹/L）			CRP(mg/L)
组别	例数	术前	术后24 h	术后48 h	术前	术后24 h	术后48 h
试验组	59	13.6±3.7	13.9±3.2	10.4±3.5	42.8±10.5	44.2±12.1	31.6±8.2
对照组	59	13.9±4.0	15.7±3.8	13.0±4.2	43.7±11.7	50.3±12.4	40.5±10.0
t1,t2，t3，t4，t5，t6值	?	0.471，4.826，5.669，0.423，2.783，3.866			0.671，6.457，6.621，0.440，2.704，5.286
P1，P2，P3，P4，P5，P6值	?	>0.05，<0.01，<0.01，>0.05，<0.01，<0.01			>0.05，<0.01，<0.01，>0.05，<0.01，<0.01

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