摘要
Abstract
Objective To explore the clinical effects of laparoscopic versus open appendectomy for children with acute appendicitis.Methods 65 children with acute appendicitis admitted in our hospital from May, 2012 to November, 2014 were collected for prospective study and were divided into an open group and a laparoscopic group according to whether or not taking laparoscopic resection.The open group were treated with open appendectomy and the laparoscopic group laparoscopic appendectomy.The perioperative clinical data, postoperative complications, and white blood cell number were compared between these two groups.Results The intra-operative bleeding volume was obviously lower and the operation time, time for activity off bed, postoperative exhaustion time, and hospital stay were much shorter in the laparoscopic group than in the open group, with statistical differences(P ＜0.01).The incidences of surgical site infection, adhesive abdominal pain, and adhesive intestinal obstruction were significantly lower in the laparoscopic group than in the open group, with statistical differences(P ＜0.05).The incidences of postoperative scar and abdominal swelling were significantly lower in the laparoscopic group than in the open group, with statistical differences(P ＜0.01).There was a statistical difference in white blood cell number after the operation between these two groups(P ＜ 0.01).Conclusion Laparoscopic appendectomy is more effective than open appendectomy for children with acute appendicitis.关键词
开放性阑尾切除手术/腹腔镜阑尾切除手术/急性阑尾炎/治疗效果Key words
Open appendectomy/Laparoscopic appendectomy/Acute appendicitis/Therapeutic effect
