腹腔镜阑尾切除术与开腹阑尾切除术临床分析

Clinical analysis on laparoscopic appendectomy and open appendectomy for acute appendicitis

临床腹腔镜阑尾切除术治疗急性阑尾炎的可行性和有效性.方法 回顾性分析我科2010年6月至2013年1月收治的手术治疗的急性阑尾炎患者资料,其中腹腔镜阑尾切除术（Laparoscopic appendectomy,LA） 45例,传统开腹阑尾切除术（Open appendectomy,OA） 82例,所有患者术后病理均证实为急性阑尾炎.结果 手术操作时间：LA组及OA组的分别为（35.5±2.8）min及（38.1±3.4） min,两组比较差异无统计学意义（P＞0.05）.住院时间分别为（3.1±1.5）d及（7.2±2.5）d；术后并发症：LA组及OA组的分别为0.04％和0.13％,两组间比较差异有统计学意义（P＜0.01）.结论 LA在急性阑尾炎的治疗中,如病例选择得当,比传统阑尾切除术在治疗上具有明显优势,值得大力推广普及.

Objective To investigate the application of laparoscopic appendectomy （LA） and open appendectomy （OA） for acute appendicitis.Methods A retrospective data collection was carried out to patients undergoing either an LA or OA at our surgical department from July 2010 to Jan 2013.Results The operative time was （35.5 ± 2.8） min and （38.1 ± 3.4） in LA and OA groups,respectively.The hospital stay was （7.2 ± 2.5） days in OA group while it was （3.1 ± 1.5） days in LA group.The complication was 0.04% and 0.13% in OA group and LA group,respectively.Conclusion LA is superior to OA in operation time,postoperative recovery and complication.The laparoscopic appendectomy is a safe and efficient approach to treat acute appendicitis.