知识与财富的链接
目的探讨经脐单孔双套管技术行腹腔镜阑尾切除术(laparoscopic appendectomy,LA)的临床应用价值。方法回顾性分析2003年6月～2010年11月于笔者医院收治的急性阑尾炎患者806例,从中选择资料完整者402例进行分析,其中经脐单孔双套管腹腔镜阑尾切除术211例,常规开腹阑尾切除术191例。对两种手术方式的临床效果进行比较。结果两组患者均顺利完成手术,无围手术期死亡病例。腹腔镜与开腹手术相比术中出血量较少(36.1±10.6 vs 78.3±16.9,P<0.05)、术后肛门排气较早(15.3±8.2 vs 21.4±9.8,P<0.05)、术后抗生素使用天数少(6.4±2.3 vs 8.3±3.4,P<0.05)、住院时间较短(7.2±1.6 vs 8.8±3.4,P<0.05);但腹腔镜组患者住院费用较高(8101.8±1201.4 vs 4881.6±1121.7,P<0.05)、手术时间较长(76.4±12.8 vs 61.3±11.9,P<0.05)结论经脐单孔双套管腹腔镜阑尾切除术安全可靠、创伤小、恢复快、术中出血少、住院时间短等优点,但住院费用相对较高。
Objective To explore the safty and feasibility of transumbilical single-port laparoscopie appendectomy on acute appendicitis.Methods 402 patients with acute appendicitis was analyzed retrospectively,211 subjects was in the transumbilical single-port laparoscopie appendectomy group and 191 subjects was in the laparotomy appendectomy.The clinical results of the two groups was analyzed after operation.Results No perioperative death was observed in the two groups.Transumbilical single-port laparoscopic appendectomy had less amount of blood loss(36.1±10.6 vs 78.3±16.9,P<0.05),earlier anal discharge(15.3±8.2 vs 21.4±9.8,P<0.05),less antibiotics use(6.4±2.3 vs 8.3±3.4,P<0.05),and shorter hospital stay(7.2±1.6 vs 8.8±3.4,P<0.05).But the transumbilical single-port laparoscopic appendectomy had higher hospital charges(8101.8±1201.4 vs 4881.6±1121.7,P<0.05) and more operation time(76.4±12.8 vs 61.3±11.9,P<0.05).Conclusion Transumbilical single-port laparoscopic appendectomy was safe,reliable,less invasive,faster recovery,less blood loss,and shorter hospital stay in treating acute appendicitis,but the costs was relatively higher.
