Comparison of effects of single-port and multi-port laparoscopic appendectomy in treatment of patients with acute suppurative appendicitis
Objective:To compare effects of single-port and multi-port laparoscopic appendectomy in treatment of patients with acute suppurative appendicitis.Methods:A prospective study was conducted on 80 patients with acute suppurative appendicitis admitted to the hospital from May 2022 to September 2023.According to the random number table method,they were divided into observation group and control group,40 cases in each.The control group was treated with traditional multi-port laparoscopic appendectomy,while the observation group was treated with single-port laparoscopic appendectomy.The clinical efficacy,the levels of perioperative indexes,serum inflammatory factors[C-reactive protein(CRP),tumor necrosis factor-α(TNF-α),interleukin-6(IL-6)]levels before and after the surgery,and the incidence of complications were compared between the two groups.Results:The total effective rate was 97.50%(39/40)in the observation group and 92.50%(37/40)in the control group,there was no significant difference between the two groups(P>0.05).The operation time of the observation group was longer than that of the control group,the intraoperative blood loss was less than that of the control group,the postoperative intestinal exhaust time and the hospitalization time were earlier than those of the control group,the visual analogue scale(VAS)score and the serum CRP,TNF-α,IL-6 levels 12 h after the surgery were lower than those of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 5.00%(2/40),which was lower than 20.00%(8/40)in the control group,and the difference was statistically significant(P<0.05).Conclusions:The curative effects of single-port and multi-port laparoscopic appendectomy in the treatment of the patients with acute suppurative appendicitis are similar,but the single-port laparoscopic appendectomy has less trauma,which can effectively reduce the amount of intraoperative blood loss,reduce the degree of pain,shorten the postoperative intestinal exhaust time and the hospitalization time,and reduce the incidence of complications and the levels of inflammatory factors,but it may prolong the operation time.
Single portMulti-portLaparoscopic appendectomyAcute suppurative appendicitisComplication