Objective To assess the effect of laparoscopy on acute gangrene appendicitis, and provide a reference for improving the effect of the surgical treatment.Methods The Uinical data of 90 cases diagnosed as acute gangrenous appendicitis and received surgical treatment were analyzed retrospectively.The patients were divided into two groups: control group (66 cases) treated with traditional laparotomy and observation group (24 cases) treated with laparoscopic surgery.The effects of two kinds of operations were compared.Results Compared with the control group, the observation group showed significantly reduced surgical indicators (P<0.05), analgesics usage rate (P<0.05), and postoperative complications rate (P<0.05).Conclusion Applying laparoscopy to acute gangrene appendicitis can effectively reduce the use of postoperative analgesics and complications, promote clinical efficacy, and ensure the safety of surgery, which is worth promoting.
PAN Jianhai
,
LI Zhongmin
,
WEN Li
,
WU Yang
. Application of laparoscopy in surgical treatment of acute gangrenous appendicitis[J]. Surgical Research and New Technique, 2019
, 8(1)
: 10
-12
.
DOI: 10.3969/j.issn.2095-378X.2019.01.004
[1] 王东君,张新元,张震波,等.腹腔镜阑尾切除术治疗急性坏疽穿孔性阑尾炎[J].中国微创外科杂志, 2016,16(4):380-381.
[2] 王学军,李亮.腹腔镜下阑尾切除术治疗体会(附142例报道)[J].中国普外基础与临床杂志, 2016,23(8):947.
[3] 顾纪明,蒋晖,杜军.腹腔镜下困难型阑尾切除术的治疗体会(附51例报道)[J].中国普外基础与临床杂志, 2016,23(2):231-233.
[4] 吴万峰,宋予军,杨家和.腹腔镜在军人急性阑尾炎中的应用价值[J].解放军医院管理杂志, 2016,23(9):889-890.
[5] 沈正海,詹峰,沈振伟,等.腹腔镜与开放手术治疗急性穿孔性阑尾炎的对比研究[J].腹腔镜外科杂志, 2016,21(11):858-860.
[6] 苏洲,姚寒晖,夏猛,等.腹腔镜和开腹手术治疗急性阑尾炎的临床疗效和安全性分析[J].中华全科医学, 2017,15(7):1150-1152.
[7] 王德仲,康春博,李文强,等.经脐单孔腹腔镜阑尾切除术中阑尾系膜不同处理方法的临床研究[J].医学综述, 2017,23(15):3114-3117.
[8] 姜笑明,黄文海,俞建平.腹腔镜阑尾切除术与开腹阑尾切除术的对比研究[J]复旦学报(医学版), 2018,45(2):221-226.
