腹腔镜与开腹阑尾切除术的对比分析

A Contrastive Analysis of Laparoscopic Appendectomy Versus Open Appendectomy

目的探讨腹腔镜阑尾切除术与开腹阑尾切除术的优缺点。方法对103例腹腔镜阑尾切除术和107例开腹阑尾切除术进行比较。结果在各类阑尾炎中,腹腔镜阑尾切除术胃肠功能恢复、住院时间均较开腹阑尾切除术短;在切口感染、术后疼痛方面,较开腹手术具有明显优越性;而手术时间并不比开腹手术长。结论腹腔镜阑尾切除术具有明确诊断、创伤小、痛苦少、住院时间短及切口感染率低等优点,逐渐成为阑尾切除的首选手术方式之一。

Objective To explore the merits and defects of laparoscopic appendectomy and open appendectomy. Methods The 103 patients underwent laparoscopic appendectomy were compared with 107 patients underwent conventional appendectomy. Results The recovery time of gastrointestinal function and the time of hospital stay in laparoscopic appendectomy group was shorter than that in convertional appendectomy group. The laparoscopic appendectomy had fewer infection of incision and no using an algesics postoperation. The operative time of laparoscopic appendectomy was not longer than that of conventional appendectomy. Conclusion The laparoscopic appendectomy is proved to be safe and efficient with shorter hospital stay, lighter pain, fewer infection of incision. It will be the first choice of appendectomy gradually.