JOURNAL OF CLINICAL SURGERY ›› 2020, Vol. 28 ›› Issue (4): 347-349.doi: 10.3969/j.issn.1005-6483.2020.04.015

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Clinical value of laparoscopy in the diagnosis and treatment of suspected acute appendicitis

  

  1. Department of General Surgery,Suzhou Municipal Hospital,Suzhou,Anhui 234000, China
  • Online:2020-04-20 Published:2020-04-20

Abstract: Objective To investigate the clinical value of laparoscopy technology in the diagnosis and treatment of suspected acute appendicitis. Methods A total of 86 patients admitted to the department of general surgery of our hospital from January 2013 to October 2018 with a diagnosis of suspected acute appendicitis were selected.54 patients undergoing laparoscopic exploration and laparoscopic appendectomy were divided into the observation group,while 32 patients undergoing traditional exploratory laparotomy and open appendectomy were divided into the control group.Comparing and analyzing the difference of clinical indexes between the two groups after different surgical methods. Results Compared with the control group,the observation group had shorter operation time and less surgical bleeding volume.After operation,the observation group not only felt less pain,but also recovered the intestinal function and performed off-bed activities earlier than the control group.Furthermore,the observation group had shorter hospitalization time and lower incidence of postoperative complications including incision infection,abdominal residual abscess and ileus.Their differences were statistically significant(P<0.05).However there was no significant difference in hospitalization cost between two groups(P>0.05). Conclusion With the advantages of higher diagnostic accuracy and therapeutic efficiency,smaller surgical trauma,slighter pain,less postoperative complications,and quicker recovery,the laparoscopy technology is efficient in the diagnosis and treatment of suspected acute appendicitis.

Key words: acute appendicitis, appendectomy, laparoscopic exploration

[1] SUN Jingqiu, ZHU Congyuan, WANG Ke, et al.. A comparative study of three different trocar positions in laparoscopic appendectomy [J]. JOURNAL OF CLINICAL SURGERY, 2019, 27(12): 1037-1040.
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