Effect of Traditional Laparotomy and Laparoscopic Surgery on Clinical Efficacy,Gastrointestinal Function and Complications in Patients with Acute Appendicitis
Objective To analyze the effects of traditional laparotomy and laparoscopic surgery on clinical efficacy,gastrointestinal function and complications in patients with acute appendicitis.Methods A total of 62 patients with acute appendicitis who were treated in Yanshan County Hospital of Traditional Chinese Medicine from May 2023 to April 2024 were selected as the research objects.According to the random number table method,they were divided into control group and study group,with 31 patients in each group.The control group was treated with traditional laparotomy,and the study group was treated with laparoscopic minimally invasive surgery.The clinical efficacy,gastrointestinal function(recovery of intestinal peristalsis,recovery of bowel sounds,first exhaust,first defecation),stress response level[serum superoxide dismutase(SOD),malondialdehyde(MDA),serum C-reactive protein(CRP),interleukin-6(IL-6),tumor necrosis factor-α(TNF-α)],and incidence of postoperative complications(intestinal obstruction,incision infection,abdominal abscess,dysuria)were compared between the two groups.Results The total effective rate of treatment in the study group was higher than that in the control group(P<0.05).The gastrointestinal function of the study group was better than that of the control group(P<0.05).At 3 days after operation,the levels of SOD in the study group were higher than those in the control group,while the levels of MDA,CRP,IL-6 and TNF-α were lower than those in the control group(P<0.05).The incidence of postoperative complications in the study group was lower than that in the control group(P<0.05).Conclusion Both traditional open surgery and laparoscopic surgery are effective methods for the treatment of acute appendicitis,but laparoscopic surgery has more significant advantages,higher treatment effect and safety,less impact on the body's stress response,and faster postoperative recovery.
Traditional laparotomyLaparoscopic surgeryAcute appendicitisGastrointestinal functionComplications
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