腹腔镜阑尾切除术后结扎夹致儿童腹痛7例分析OACSTPCD

Objective:To investigate the causes and countermeasures of postoperative persistent right lower quadrant abdominal pain in children undergoing laparoscopic appendectomy(LA)using ligating clips for the appendiceal stump closure.Methods:A retro-spective study was conducted on the clinical data of 7 children who underwent reoperation due to persistent right lower quadrant abdomi-nal pain after LA from Jan.2019 to Mar.2023.The etiology and surgical experiences were analyzed and summarized.Results:Among the 7 patients,3 were male and 4 were female,with the average age of(11.30±2.07)years.All 7 children successfully underwent lapa-roscopic ileocecal ligating clip removal surgery,with an average operation time of(72.14±24.98)min and blood loss less than 5 mL.Pathological examination suggested that no significant inflammatory cell infiltration was in the small amount of tissue on ligating clips,ruling out appendiceal stump inflammation.Postoperatively,all 7 children were free of abdominal pain and were discharged from hospital smoothly after an average hospital stay of(6.29±1.98)d.During a follow-up period of 6 months to 4 years,no recurrent right lower quadrant abdominal pain were found.Conclusions:There is a risk of postoperative right lower abdominal pain when using ligating clips to secure the appendiceal stump in children undergoing LA,which can be avoided by the operation during surgery,the position and the number of ligating clips.