Abstract:

Objective To explore and analyze the effects of laparoscopic surgery and open surgery on acute appendicitis in adults. Method 110 adult patients with acute appendicitis diagnosed in Fuzhou Jin'an District Hospital from March 2019 to March 2022 were randomly divided into the observation group and the control group, with 55 cases in each group. The observation group was operated by laparoscopy, and the control group was operated by laparotomy. The operation related indicators, postoperative pain scores (6h, 24h, 48h, 72h) and postoperative complication rates of the two groups were counted. Result The operation time, postoperative exhaust time, postoperative eating time, postoperative out of bed time and average hospital stay of the patients in the observation group were shorter than those in the control group, with significant differences (P ＜ 0.05); The incision length of the observation group was shorter than that of the control group, and the amount of intraoperative bleeding

was less than that of the control group, the difference was significant (P ＜ 0.05). The pain scores at 6h, 24h, 48h and 72h after operation in the observation group were lower than those in the control group, and the total incidence of complications was lower than that in the control group, with significant differences (P ＜ 0.05). Conclusion Laparoscopic surgery for adult acute appendicitis has ideal surgical effect, mild postoperative pain symptoms and fewer postoperative complications.

Key words: Acute appendicitis, Laparoscopic, Open surgery, Curative effect, Contrast