阑尾炎传统开腹切除术与腹腔镜切除术的比较研究

Comparative Study of Appendicitis Conventional Laparotomy with Laparoscopic Resection

目的分析研究传统开腹阑尾切除术(Open appendectomy,OA)和腹腔镜阑尾切除术(Laparoscopic appendectomy,LA),比较这两种手术各自的优势。方法回顾性分析研究了我院2010年11月至2013年1月收治的213例阑尾炎切除手术,其中162例行OA,51例行LA(其中4例中转开腹),通过分析总结手术时间,腹腔引流量,住院时间以及切口恢复情况。结果 213例手术均成功,术中以及术后均无严重并发症,OA组平均手术时间比LA组长(OA组49min,LA组38min),OA组平均住院时间明显比LA组长(OA组6.4d,LA组4.5d),平均肛门排气时间OA组比LA组长(OA组38h,LA组26h)。结论 LA具有手术切口小,恢复快,术中出血量少,视野广泛,住院时间短等优势,OA具有手术局限性小,根治彻底,手术费用低等优势,操作要求低。

Objective Analysis of traditional open appendectomy（OA）and laparoscopic appendectomy surgery（LA）,comparing two surgical respective advantages. Methods A retrospective analysis of 213 cases admitted in our hospital in November 2010 January 2013 appendectomy surgery, of which 162 routine OA 51 cases LA（four of which were converted to laparotomy）analyzed the surgical time peritoneal drainage, length of hospital stay, and incision recovery. Results 213 surgeries were successful,and no serious complications after surgery, OA group, average operation time than the LA group leader（OA group was 49min, LA group was 38min）, average hospitalization time of the OA group is longer than the LA group（OA group was 6.4 days, the LA group was 4.5 days）, average the lfatus OA group than the LA leader （OA group was 38h, LA group was 26h）. Conclusion LA small incision, faster recovery, less blood loss, vision widely, shorter hospital stay, OA has a small surgical limitations completely radical surgery cost advantage, low operating requirements.