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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Abstract Full text Figures/Tables Video References Cited by

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.	胡曉明, 王志剛, 章永峰, 等. 腹腔鏡闌尾切除術 84 例體會. 中國微創外科雜志,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.	陸深泉,劉濤,李奕建. 急性闌尾炎腹腔鏡與開腹手術的對比分析. 中國微創外科雜志, 2013, 13(7):633-635.
7.	羊平,王藝何,李春滿,等. 腹腔鏡手術與開腹手術治療急性闌尾炎臨床對比分析. 中國醫學創新,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. 腹腔鏡與開腹手術治療急性闌尾炎穿孔的比較. 中國微創外科雜志,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.	王偉,仇成江,陳榮. 腹腔鏡下闌尾切除術與傳統闌尾切除術的臨床比較. 廣東醫學,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. 經臍單一部位腹腔鏡闌尾切除術26例報告. 中國微創外科雜志, 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. 胡曉明, 王志剛, 章永峰, 等. 腹腔鏡闌尾切除術 84 例體會. 中國微創外科雜志,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. 陸深泉,劉濤,李奕建. 急性闌尾炎腹腔鏡與開腹手術的對比分析. 中國微創外科雜志, 2013, 13(7):633-635.
7. 羊平,王藝何,李春滿,等. 腹腔鏡手術與開腹手術治療急性闌尾炎臨床對比分析. 中國醫學創新,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. 腹腔鏡與開腹手術治療急性闌尾炎穿孔的比較. 中國微創外科雜志,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. 王偉,仇成江,陳榮. 腹腔鏡下闌尾切除術與傳統闌尾切除術的臨床比較. 廣東醫學,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. 經臍單一部位腹腔鏡闌尾切除術26例報告. 中國微創外科雜志, 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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