关键词: 急性穿孔性阑尾炎, 腹腔镜, 下阑尾切除术, 胃肠功能, 炎症反应

Abstract:

Abstract: Objective To analyze the efficacy of laparoscopic appendectomy and open appendectomy in the treatment of acute perforating appendicitis. Methods From February 2018 to January 2021, 63 patients with acute perforating appendicitis admitted to the General Surgery Department of People's Hospital of Zhaoqing High-tech Zone were randomly divided into an open group (30 cases) and a laparoscopic group (33 cases). The laparotomy group was treated with open appendectomy, and the laparoscopic group was treated with laparoscopic appendectomy. The recovery of gastrointestinal function, inflammation and complications were compared between the two groups. Results During the postoperative hospitalization, the recovery time of gastrointestinal function in the laparoscopic group was significantly shorter than that in the open group (P<0.05). Compared with preoperatively, the levels of serum CRP, PCT in the two groups increased after operation, and the laparoscopic group was lower than the open group (P<0.05). During the postoperative hospitalization, the total complication rate in the laparoscopic group was 6.06%, which was significantly lower than that in the open group 18.18%(P<0.05). Conclusion Laparoscopic appendectomy can effectively promote the recovery of gastrointestinal function in patients with acute perforating appendicitis, with less body inflammation, fewer postoperative complications, and better safety.

Key words: Acute perforating appendicitis, Laparoscopy, Lower appendectomy, Gastrointestinal function, Inflammatory reaction