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Laparoscopic versus open appendectomy in the treatment of complicated appendicitis in children: an analysis of 268 cases

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Author:
No author available
Journal Title:
WORLD CHINESE JOURNAL OF DIGESTOLOGY
Issue:
8
DOI:
10.3969/j.issn.1009-3079.2010.08.019
Key Word:
复杂性阑尾炎;腹腔镜阑尾切除术;小儿

Abstract: 目的:对比分析腹腔镜和开腹阑尾切除术在治疗小儿复杂性阑尾炎中的疗效.方法:回顾性分析2000-01/2009-11小儿复杂性阑尾炎患者268例临床资料,其中腹腔镜阑尾切除术(LA)128例,开腹阑尾切除术(OA)140例,比较两组手术情况和疗效.结果:手术时间:LA组较OA组长(62.2 min±15.3 min vs 57.1 min±6.4 min,P<0.01);术后肛门排气时间:LA组较OA组短(26.8 h±7.6 h vs 42.9 h±8.3 h.P<0.001);术后住院时间:LA组较OA组短(5.2 d±2.3 d vs 9.5 d±2.6d,P<0.001);术后腹腔脓肿LA组1例,OA组9例(P=0.036);切口感染:LA组3例,OA组28例(P<0.001);肠梗阻:LA组2例,OA组5例(P=0.518).结论:LA较OA具有创伤小、恢复快、并发症少、住院时间短和美容效果好等优点,是治疗小儿复杂性阑尾炎一种安全有效的手术方式.

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