Abstract:

Objective To compare the clinical effects of laparoscopic appendectomy(LA) and open appendectomy(OA). Method 71 patients undergoing appendectomy in general surgery of Qingyang Hospital of Jiangyin City were selected, they were divided into LA Group (37 cases received LA) and OA group(34 cases received OA). The operation, pain and postoperative complications of the two groups were compared. Result There was no significant difference in the operation time and the first postoperative exhaust time between La group and OA group (P ＞ 0.05); the length of stay in LA group was significantly lower than that in OA group (P ＜ 0.05), but the hospitalization cost in OA group was significantly lower than that in LA group (P ＜ 0.05). The visual analogue scale (VAS) scores at 30 min, 12h and 24h after operation in LA group were lower than those in OA group (P ＜ 0.05), and the total incidence of complications (5.0%) was significantly lower than that in OA group (18.92%). Conclusion

LA can accelerate the rehabilitation of patients with acute appendicitis, reduce postoperative pain and reduce the risk of postoperative complications, but the cost is higher than that of traditional open surgery. 

Key words: Laparoscopy, Appendectomy, Laparotomy, Curative effect