Investigate The Laparoscopic Operation for Treatment Gangrenous and Perforated Appendicitis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 LILe , LIXin , JINGHua-zhong , WEIDeng-wen , CAOTing-bao ,  LIUHong-bin

Department of General Surgery, Lanzhou General Hospital of Lanzhou Military Region, Lanzhou 730050, Gansu Province, China;

Corresponding author：

LIUHong-bin, Email: liuhongbin999@163.com

Keywords：

Laparoscope; Gangrenous appendicitis; Purulent appendicitis; Appendectomy

DOI：

10.7507/1007-9424.20150213

Video：

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Objective To explore the curative effect and value of laparoscopic operation in the treatment of acute gangrenous and perforated appendicitis. Methods The clinical data of 243 patients with acute gangrenous and perforated appendicitis from February 2011 to February 2014 in our hospital were retrospectively analyzed. Laparoscopic appendectomy was performed in 118 cases (LA group), and open appendectomy was performed in 125 cases (OA group). The operative time, hospital stay, hospital costs, incision bleeding, gastrointestinal function recovery, wound infection, pelvic abscess, and postoperative adhesions of two groups were compared. Results There was no significant difference in the operative time, incision bleeding, and the incidence of pelvic abscess after operation between the LA group and OA group (P>0.05). Compared with the OA group, the recovery time of gastrointestinal function was significantly shortened (P<0.01), eating time was earlier (P<0.01), hospitalization time also shortened significantly (P<0.01), and the incidence of postoperative wound infection and intestinal adhesion were significantly decreased (P<0.01) after operation in LA group. But the cost of hospitalization in LA group increased significantly (P<0.05). Conclusions The laparoscopic operation in the treatment of gangrenous and perforated appendicitis are light of pain., recover quickly, shorter of hospital stay, and fewer complications. The increase of hospitalization expenses is the only deficiency.

Citation： LILe, LIXin, JINGHua-zhong, WEIDeng-wen, CAOTing-bao, LIUHong-bin. Investigate The Laparoscopic Operation for Treatment Gangrenous and Perforated Appendicitis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(7): 828-831. doi: 10.7507/1007-9424.20150213 Copy

1.	Wei B, Qi CL, Chen TF, et al. Laparoscopic versus open appendectomy for acute ppendicitis:a meta-analysis. Surg Endosc, 2011, 25 (4):1199-1208.
2.	胡晓明, 王志刚, 章永峰, 等. 腹腔镜阑尾切除术 84 例体会. 中国微创外科杂志,2012, 12(9):861-862.
3.	Sleem R, Fisher S, Gestring M, et al. Perforated appendicitis:Is early laparoscopic appendectomy appropriate? Surgery, 2009, 146(4):731-737.
4.	Moore CB, Smith RS, Herbertson R, et al. Does use of intraoperative irrigation with open or laparoscopic appendectomy reduce post-operative intra-abdominal abscess? Am Surg, 2011, 77(1):78-80.
5.	St Peter SD, Aguayo P, Fraser JD, et al. Initial laparoscopic appendectomy versus initial nonoperative management and interval appendectomy for perforated appendicitis with abscess:a prospective, randomized trial. J Pediatr Surg,2010, 45(1):236-240.
6.	陆深泉,刘涛,李奕建. 急性阑尾炎腹腔镜与开腹手术的对比分析. 中国微创外科杂志, 2013, 13(7):633-635.
7.	羊平,王艺何,李春满,等. 腹腔镜手术与开腹手术治疗急性阑尾炎临床对比分析. 中国医学创新,2013, 10(9):26-28.
8.	Dimitriou I, Reckmann B, Nephuth O, et al. Single institution's experience in laparoscopic appendectomy as a suitable therapy for complicated appendicitis. Langenbecks Arch Surg, 2013, 398(1):147-152.
9.	李永超,王甲天,崔明福,等. 腹腔镜与开腹手术治疗急性阑尾炎穿孔的比较. 中国微创外科杂志,2014, 14(4):327-330.
10.	Carbonell AM, Burns JM, Lincourt AE, et al. Outcomes of laparoscopic versus open appendectomy. Am Surg, 2004, 70(9):759-765.
11.	Markar SR, Venkat-Raman V, Ho A, et al. Laparoscopic versus open appendicectomy in obese patients. Int J Surg, 2011, 9(6):451-455.
12.	王伟,仇成江,陈荣. 腹腔镜下阑尾切除术与传统阑尾切除术的临床比较. 广东医学,2008, 29(12):2052-2053.
13.	Shindholimath VV, Thinakaran K, Rao TN, et al. Laparoscopic management of appendicular mass. J Minim Access Surg, 2011, 7(2):136-140.
14.	Teoh AY, Chiu PW, Wong TC, et al. A case-controlled comparison of single-site access versus conventional three-port laparoscopic appendectomy. Surg Endose, 2011, 25(5):1415-1419.
15.	魏源水, 倪斌, 王弦, 等. 经脐单一部位腹腔镜阑尾切除术26例报告. 中国微创外科杂志, 2012, 12(10):919-921.
16.	Kolovrat M, Lovri Z, Busi Z, et al. Laparoscopic versus open appendectomy:our experience and literature review. Acta Med Croatica, 2012, 66(5):383-385.

1. Wei B, Qi CL, Chen TF, et al. Laparoscopic versus open appendectomy for acute ppendicitis:a meta-analysis. Surg Endosc, 2011, 25 (4):1199-1208.
2. 胡晓明, 王志刚, 章永峰, 等. 腹腔镜阑尾切除术 84 例体会. 中国微创外科杂志,2012, 12(9):861-862.
3. Sleem R, Fisher S, Gestring M, et al. Perforated appendicitis:Is early laparoscopic appendectomy appropriate? Surgery, 2009, 146(4):731-737.
4. Moore CB, Smith RS, Herbertson R, et al. Does use of intraoperative irrigation with open or laparoscopic appendectomy reduce post-operative intra-abdominal abscess? Am Surg, 2011, 77(1):78-80.
5. St Peter SD, Aguayo P, Fraser JD, et al. Initial laparoscopic appendectomy versus initial nonoperative management and interval appendectomy for perforated appendicitis with abscess:a prospective, randomized trial. J Pediatr Surg,2010, 45(1):236-240.
6. 陆深泉,刘涛,李奕建. 急性阑尾炎腹腔镜与开腹手术的对比分析. 中国微创外科杂志, 2013, 13(7):633-635.
7. 羊平,王艺何,李春满,等. 腹腔镜手术与开腹手术治疗急性阑尾炎临床对比分析. 中国医学创新,2013, 10(9):26-28.
8. Dimitriou I, Reckmann B, Nephuth O, et al. Single institution's experience in laparoscopic appendectomy as a suitable therapy for complicated appendicitis. Langenbecks Arch Surg, 2013, 398(1):147-152.
9. 李永超,王甲天,崔明福,等. 腹腔镜与开腹手术治疗急性阑尾炎穿孔的比较. 中国微创外科杂志,2014, 14(4):327-330.
10. Carbonell AM, Burns JM, Lincourt AE, et al. Outcomes of laparoscopic versus open appendectomy. Am Surg, 2004, 70(9):759-765.
11. Markar SR, Venkat-Raman V, Ho A, et al. Laparoscopic versus open appendicectomy in obese patients. Int J Surg, 2011, 9(6):451-455.
12. 王伟,仇成江,陈荣. 腹腔镜下阑尾切除术与传统阑尾切除术的临床比较. 广东医学,2008, 29(12):2052-2053.
13. Shindholimath VV, Thinakaran K, Rao TN, et al. Laparoscopic management of appendicular mass. J Minim Access Surg, 2011, 7(2):136-140.
14. Teoh AY, Chiu PW, Wong TC, et al. A case-controlled comparison of single-site access versus conventional three-port laparoscopic appendectomy. Surg Endose, 2011, 25(5):1415-1419.
15. 魏源水, 倪斌, 王弦, 等. 经脐单一部位腹腔镜阑尾切除术26例报告. 中国微创外科杂志, 2012, 12(10):919-921.
16. Kolovrat M, Lovri Z, Busi Z, et al. Laparoscopic versus open appendectomy:our experience and literature review. Acta Med Croatica, 2012, 66(5):383-385.

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Investigate The Laparoscopic Operation for Treatment Gangrenous and Perforated Appendicitis

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