New Technology And Clinical Medicine
Laparoscopic and open appendectomy in treatment of high-risk complicated appendicitis: a comparative study
Yu Zheng, Changqing Zeng, Liangjie Chi, Liangxiang Huang
Published 2016-10-15
Cite as Chin J Biomed Eng, 2016, 22(5): 407-410. DOI: 10.3760/cma.j.issn.1674-1927.2016.05.012
Abstract
ObjectiveTo investigate the safety and feasibility of laparoscopic appendectomy (LA) in patients with high-risk complicated appendicitis.
MethodsThe clinical data of 1 032 patients with complicated appendicitis, who were treated between June 2008 and June 2015, were analyzed retrospectively. Based on the American Association of Anesthesiologists (ASA) scoring criteria, 168 high-risk patients with ASA score of 3-4 were included. According to the surgical options, all patients were divided into the LA group (n=98) and open appendectomy group (OA group, n=70) . The preoperative preparation time, operation time, intraoperative blood loss, postoperative time to bowel movement, 24 h analgesic use, length of hospital stay and postoperative complications were compared between the two groups.
ResultsThe average preoperative preparation time in the LA group was longer than that in the OA group[ (20.2±4.1) min vs (15.5±3.2) min] (P<0.05) . The average operation time in the LA group was slightly longer than that in the OA group[ (85.2±7.6) min vs (76.4± 6.9) min] (P>0.05) , whereas the postoperative time to bowel movement, 24 h analgesic use, and length of hospital stay were less or shorter than those in the OA group (P<0.05) . There was no statistically significant difference in the incidence of postoperative cardiopulmonary complications between the two groups (P>0.05) . The incidences of lung, wound infection and abdominal abscess in the LA group were lower than those in the OA group (P<0.05) . There were no cases of stump fistula or operative deaths in both groups.
ConclusionLaparoscopy is feasible in the treatment of high-risk complicated appendicitis with certain advantages.
Key words:
Appendicitis; Appendectomy; Laparoscopes
Contributor Information
Yu Zheng
Department of Gastrointestinal Surgery, Provincial Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou, Fujian 350001, China
Changqing Zeng
Liangjie Chi
Liangxiang Huang