二孔法腹腔镜阑尾切除术的探讨

目的探讨二孔法腹腔镜阑尾切除术(laparoscopic appendectomy, LA)的应用价值。方法回顾分析3年来我院阑尾切除术161例的临床资料。行LA 的94例与常规开腹手术(open appendectomy, OA)67例进行对比。比较两组手术时间,住院时间,术后排气时间,住院费用及并发症等。结果LA组手术平均时间,术后住院时间,术后排气时间较OA组明显缩短(P<0.01)。住院费用无明显差异(P>0.05)。LA组无并发症,OA组切口感染6例。结论二孔法LA较OA创伤轻,康复快,住院时间短,并发症少,但住院费用无明显差异,值得临床推广应用。

Study of laparoscopic appendectory with two trocars

To study the effectiveness of laparoscopic appendectomy with two trocars. The clinical data of 161 cases of appendectomy in recent 3 years in our hospital were reviewed retrospectively. 94 cases underwent LA, which was compared with the cases who underwent OA in hospitalization expenses,operative times, the day of hospitalization and post-operative complication. Operative time, day of postoperative hospitalization and passage of gas by anus time in LA was shorter than those in OA (P<0.01). There was no significant different between LA and OA in hospitalition expenses (P>0.05). None had postoperative complication in LA, but 6 cases were effected in 0A. [Conclusion] The result demonstrate that LA has many advantages compare with OA,such as less trauma,shorter rehabilition peried, day of hospitalization is shorter. But hospitalition expenseses not higher than OA. So it can be use extensively.