腹腔镜手术治疗急性阑尾炎72例报告

Laparoscopic Appendectomy for Acute Appendicitis (A Report of 72 Cases)

目的 探讨腹腔镜手术治疗急性阑尾炎的价值。 方法 对 5 4例急性化脓性阑尾炎、18例阑尾炎穿孔并腹膜炎行腹腔镜手术治疗 ,并与同期 72例阑尾炎开放手术比较。 结果 腹腔镜组的并发症发生率、肠功能恢复时间及平均住院日分别为 0 ,0 .5d ,2 .3d ,对照组分别为 15 % ,2 .5d ,6 .8d ,两组比较有显著差异。 结论 与开放手术比较 ,腹腔镜治疗急性化脓性阑尾炎及阑尾穿孔性腹膜炎有并发症少 。

Objective To assess the value of laparoscopic appendectomy foracute appendicitis. Methods 54 patients with acute purulent appendicitis and 18 patients with appendiceal perforation and peritonitis underwent laparoscopic appendectomy. 72 patients underwent laparotomy during the same term were selected as the control group. Results The incidence of complications, recovery time of gastrointestinal function and average hospital stay was 0,0.5 days and 2.3 days in the laparoscopy group, 15%, 2.5 days and 6.8 days in the control group respectively. There were significant difference between these two groups. Conclusions Laparoscopic appendectomy has more advantages than laparotomy for acute appendicitis, such as more safety, less complications and shorter recovery time.