Comparative study on postoperative recovery and complications between laparoscopic appendectomy and open appendectomy
Objective To compare the clinical efficacy and effects between laparoscopic (LA) and open appendectomy (OA) in the management of acute appendicitis. Methods A retrospective analysis was performed in our hospital from 200001-2010-12. The data included information on 863 appendectomies. The corresponding complication rates were analyzed,including gender, age, past history, whether a perforation, wound infection and the fat liquefaction rate,pneumoperitoneum incidence,operative time.intraoperative blood loss, postoperative ambulation start time,exhaust and postoperative feeding time.postsurgical hospital stay. Summary statistics were compared using chi-square tests and Students t test,Probability <0.05(P<0.05) was considered significant. Results In LA group,wound infection and the fat liquefaction rate with patients was 2. 4%, postoperative ambulation start time,exhaust and postoperative feeding time and postsurgical hospital stay were significantly less in OA group (x2 = 10. 855,P=0. 002;/= 4.135.P = 0.018;t=5.069,P<0.001);t=4. 601,P=0. 039). The pneumoperitoneum incidence was 10.4% and 0 in LA and OA groups respectively. There was no difference significant difference in the average operation time and intraoperative blood loss in the two kinds of acute appendectomy's operation. Conclusion Minimally invasive appendectomy is associated with lower infection rates,fewer complications and shorter hospital stays than open surgery. The Selection of operation is based on the doctor's proficiency, the individual difference and/or patients bearing capacity and economic circumstances.
NETL
NSTL
万方数据
维普
