Effect of Previous Abdominal Surgery on Appendectomy under Laparoscope for Acute Appendicitis_West China Medical Journal

Authors：

QIN Cheng , HUANG Shifeng

Department of General Surgery, the Fourth Hospital Affiliated to Guangxi Medical University, Liuzhou, Guangxi 545005, P. R. China;

Corresponding?author：

Keywords：

腹腔鏡; 闌尾切除術; 闌尾炎; 腹部手術史; 并發癥

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【摘要】　目的　探討腹部手術史對急性闌尾炎腹腔鏡闌尾切除術（LA）的影響。　方法　 2005年1月-2010年9月，將既往有腹部手術史并行LA的111例患者納入觀察組，同期隨機抽取無腹部手術史行LA的220例患者納入對照組。入選患者排除多次手術史、免疫功能低下、肝腎功能不全及血液病。比較兩組中轉開腹率、手術時間、術中出血量、術后并發癥及住院時間的差異。　結果　兩組均未出現術中并發癥及死亡，兩組患者的中轉開腹率、手術時間、術中出血量、術后并發癥及住院時間比較，差異均無統計學意義（P gt;0.05）。　結論　即往腹部手術史對急性闌尾炎LA沒有明顯影響。
【Abstract】　Objective　 To investigate the effect of previous abdominal surgery on appendectomy under laparoscope for acute appendicitis.　Methods　 From January 2005 to September 2010, 111 patients with a history of abdominal surgery who had undergone laparoscopic appendectomy due to acute appendicitis were in the observe group and 220 patients selected randomly from the patients without a history of previous abdominal surgery who had undergone laparoscopic appendectomy were in the control group. The patients with a history of multiple operations, immunodeficiency, liver and kidney dysfunction, and hematopathy were excluded. The data were collected retrospectively and the differences of conversion rate, operative time, intraoperative blood loss, postoperative complications, and hospital staying were compared between the two groups.　Results　 There were no death or intraoperative complications in both of the two groups. The differences in the conversion rate, operative time, intraoperative blood loss, postoperative complication rates, and hospital staying between the two groups were not significant (P gt;0.05).　Conclusion　 Previous abdominal surgery has no significant effect on laparoscopic appendectomy for acute appendicitis.

Citation： QIN Cheng,HUANG Shifeng. Effect of Previous Abdominal Surgery on Appendectomy under Laparoscope for Acute Appendicitis. West China Medical Journal, 2011, 26(3): 375-377. doi: Copy

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8.	陳定偉, 周偉, 牟一平. 有上腹部手術史行腹腔鏡膽囊切除術的有關問題[J]. 中國實用外科雜志, 2006, 26(3): 226-227.
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11.	巴明臣, 金輝, 陳訓如, 等. 腹腔粘連患者腹腔鏡膽囊切除術閉合法建立氣腹[J]. 中國普通外科雜志, 2001, 10(1): 46-48.
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1. 　鄧和軍, 李慶東, 冉崇新. 有腹部手術史腹腔鏡膽囊切除術的臨床分析[J]. 腹腔鏡外科雜志, 2009, 14(5): 370-371.
2. 　Bouasker I, El Ouaer MA, Smaali I, et al. Laparascopic cholecystectomy on a previously operated abdomen[J]. Tunis Med, 2010, 88(2): 88-91.
3. 　Barleben A, Gandhi D, Nguyen XM, et al. Is laparoscopic colon surgery appropriate in patients who have had previous abdominal surgery? [J]. Am Surg, 2009, 75(10): 1015-1019.
4. 　Nozaki I, Kubo Y, Kurita A, et al. Laparoscopic colectomy for colorectal cancer patients with previous abdominal surgery[J]. Hepatogastroenterology, 2008, 55(84): 943-946.
5. 　Nunobe S, Hiki N, Fukunaga T, et al. Previous laparotomy is not a contraindication to laparoscopy-assisted gastrectomy for early gastric cancer[J]. World J Surg, 2008, 32(7): 1466-1472.
6. 　Beck DE, Ferguson MA, Opelka FG, et al. Effect of previous surgery on abdominal opening time[J]. Dis Colon Rectum, 2000, 43(12): 1749-1753.
7. 　王永軍, 段華. 腹腔粘連與腹腔鏡手術治療粘連的研究現狀[J]. 中國微創外科雜志, 2005, 5(3): 214-215.
8. 　陳定偉, 周偉, 牟一平. 有上腹部手術史行腹腔鏡膽囊切除術的有關問題[J]. 中國實用外科雜志, 2006, 26(3): 226-227.
9. 　Akyurek N, Salman B, Irkorucu O, et al. Laparoscopic cholecystectomy in patients with previous abdominal surgery[J]. JSLS, 2005, 9(2): 178-183.
10. 　Long JB, Giles DL, Cornella JL, et al. Open laparoscopic access technique: review of 2010 patients[J]. JSLS, 2008, 12(4): 372-375.
11. 　巴明臣, 金輝, 陳訓如, 等. 腹腔粘連患者腹腔鏡膽囊切除術閉合法建立氣腹[J]. 中國普通外科雜志, 2001, 10(1): 46-48.
12. 　Wu JM, Lin HF, Chen KH, et al. Impact of previous abdominal surgery on laparoscopic appendectomy for acute appendicitis[J]. Surg Endosc, 2007, 21(4): 570-573.

West China Medical Journal

Effect of Previous Abdominal Surgery on Appendectomy under Laparoscope for Acute Appendicitis

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