摘要
目的:探讨现阶段腹腔镜阑尾切除术(laparoscopic appendectomy,LA)相对开腹阑尾切除术(open appendectomy,OA)的优势与不足。方法:回顾分析2013年1月至2014年12月手术治疗的228例阑尾炎患者的临床资料,分别施行LA(LA组)与OA(OA组),对比分析两组手术时间、术中出血量、术后胃肠道功能恢复时间、术后下床活动时间、住院时间、总住院费用、切口长度、切口愈合不良与腹盆腔积液形成的发生率等指标。结果:两组手术时间、术中出血量差异无统计学意义,术后胃肠道功能恢复时间、下床活动时间、住院时间、总住院费用、切口长度、切口愈合不良与腹盆腔积液形成的发生率差异有统计学意义。结论:LA具有术中探查视野好、手术创伤小、术后胃肠道功能恢复快、下床活动时间早、住院时间短的优势,但也有住院费用增加、手术技术要求高的不足,限制了其广泛开展。
Objective：To discuss the advantages and disadvantages of laparoscopic appendectomy （LA） compared with open appendectomy （OA）. Methods：The clinical data of 228 patients with appendicitis who underwent operation in the General Surgery De- partment of Emergency Surgery of Qilu Hospital of Shandong University from Jan. 2013 to Dec. 2014 were retrospectively analyzed. The paper compared if there were any significant differences between LA and OA in terms of operation time,intraoperative blood loss, post- operative gastrointestinal function recovery, time of ambulation, hospital stay, total hospitalization expenses, incision length, the complica- tion incidence such as incision infection and abdominopelvic abscess. Results：The two groups had no significant differences in terms of operation time or blood loss, but they did have such differences in terms of gastrointestinal function recovery, ambulation time, duration of hospital stay, total hospitalization expenses,incision length, the incidence of incision infection and abdominopelvic abscess. Conclu- sions ： As a newly emergent minimally invasive surgery, LA has such advantages as clear operation field, small operation wound, rapid re- covery of gastrointestinal function, short ambulation and hospitalization time and low incision infection rate compared with OA, but its expense has been increased and needs high technical requirement,which holds back its wide application to some extent.
出处
《腹腔镜外科杂志》
2015年第5期384-386,共3页
Journal of Laparoscopic Surgery
