关键词: 急性阑尾炎, 残端, 闭合方式, 并发症, 手术时间

Abstract:

Objective To analyze analyze the clinical eff ects of diff erent closure methods for appendiceal stump during laparoscopic appendectomy. Method A retrospective analysis was conducted on the clinical data of 280 patients who underwent laparoscopic appendectomy at the Second People's Hospital of Xining City from January 2023 to January 2024. The appendiceal stump was divided into two groups based on diff erent treatment methods: the observation group was treated with Hem-o-lok clamp, and the control group was treated with purse string embedding, with 140 patients in each group. Observe the recovery level, length of hospital stay, and postoperative complications of two groups of patients. Result The surgical time, hospitalization time, and anal exhaust time of the observation group patients were shorter than those of the control group, but the hospitalization costs were higher than those of the control group, and the diff erences were signifi cant (P ＜ 0.05). There was no signifi cant diff erence in the total incidence of postoperative complications between the two groups of patients (P ＞ 0.05). Conclusion The use of Hem-o-lok clamping technology can better treat residual appendicitis and improve the recovery speed of patients. Due to its low complication rate, it has advantages over using purse string embedding technology, but the cost may be more expensive.

Key words: Acute appendicitis, Residual end, Closing method, Complication, Surgical time