悬吊式无气腹腹腔镜阑尾切除术在超高龄患者中的临床应用

doi:10.3969/j.issn.2095-9400.2019.11.014

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Abstract Objective: To evaluate the value of non-pneumoperitoneum laparoscopic appendectomy (NLA) in super senior patients with acute appendicitis. Methods: The overall clinical data of 55 cases of appendicectomy (age≥80 years), which were consisted of 27 cases of NLA and 28 cases of open appendectomy (OA), were collected retrospectively. The operative time, intraoperative blood loss, postoperative pain level (6~24 h), postoperative intestinal function recovery time, postoperative hospital stay, complications and hospitalization cost were compared between the two groups. Results: Compared with the OA group, The NLA group had a obvious advantage in postoperative pain level (6~24 h), postoperative intestinal function recovery time and postoperative hospital stay, the difference was statistically significant (P<0.05). There was no significant difference in the operation time and intraoperative blood loss between the two groups. There was 1 case of incision infection in the NLA group (trocar for 1.0 cm), and 4 cases of incision infection in the OA group. The difference was not statistically significant. There were 4 cases and 5 cases in the NLA group and OA group. Postoperative pulmonary infection occurred in 4 patients and 5 patients in NLA group and OA group, respectively, and recovered after anti-inflammatory and aerosol therapy. The difference was not statistically significant. The overall hospitalization cost of the OA group was lower than that of the NLA group, and the difference was statistically significant (P<0.05). Conclusion: NLA is as safe and feasible for super senior patients with acute appendicitis. The units with mature laparoscopic techniques deserve to be popularized.

Key words： non-pneumoperitoneum laparoscopic appendectomy super senior patients acute appendicitis

Received: 25 June 2019

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	XU Maiyu
	MA Zhongwu
	CHEN Feng
	CHEN Lei

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https://xb.wmu.edu.cn/EN/10.3969/j.issn.2095-9400.2019.11.014 OR https://xb.wmu.edu.cn/EN/Y2019/V49/I11/853

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