局解手术学杂志2025，Vol.34Issue(8)：685-688,4.DOI:10.11659/jjssx.09E024149
经脐单孔腹腔镜技术在儿童复杂性阑尾炎治疗中的应用
Application of transumbilical single-port laparoscopic technique in treatment of complex appendicitis in children
杨冬 1杨吉义 1王云2
作者信息
- 1. 徐州市中心医院小儿外科,江苏 徐州 221000
- 2. 徐州市中心医院儿科,江苏 徐州 221000
- 折叠
摘要
Abstract
Objective To investigate the application effect of transumbilical single-port laparoscopic technique in the treatment of complex appendicitis in children.Methods A total of 106 children with complex appendicitis admitted to our hospital from January 2021 to August 2023 were selected as the research subjects and randomly divided into the observation group(53 cases)and the control group(53 cases).Transumbilical single-port laparoscopic-assisted appendectomy was performed in children of the observation group,and open appendectomy was performed in children of the control group.The perioperative indexes,Alvarado score,serum inflammation indexes and postoperative complications of children were observed and compared between the two groups.Results The intraoperative blood loss,length of hospital stay,time of the first postoperative exhaust,time of the first postoperative eating,and time of the first postoperative defecation of children in the observation group were significantly less/shorter than those in the control group(P<0.05);while there was no statistically significant difference in operation time of children between the two groups(P>0.05).There was no statistically significant difference in Alvarado total score,symptom dimension score,sign dimension score or laboratory index dimension score of children before and 3 days after surgery between the two groups(P>0.05).The serum levels of serum interleukin-6(IL-6),C-reactive protein(CRP)and procalcitonin(PCT)of children 48 hours after surgery in the observation group were significantly lower than those in the control group(P<0.05).The incidence of postoperative complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion Compared with the traditional open appendectomy,transumbilical single-port laparoscopic-assisted appendectomy for the treatment of complex appendicitis in children has less trauma,faster postoperative recovery and fewer complications.关键词
儿童/复杂性阑尾炎/经脐单孔腹腔镜辅助阑尾切除术/开腹阑尾切除术Key words
children/complex appendicitis/transumbilical single-port laparoscopic-assisted appendectomy/open appendectomy分类
医药卫生引用本文复制引用
杨冬,杨吉义,王云..经脐单孔腹腔镜技术在儿童复杂性阑尾炎治疗中的应用[J].局解手术学杂志,2025,34(8):685-688,4.
