Experience of laparoscopic operation in the treatment of complex appendicitis with root gangrene perforation
根部坏疽穿孔复杂阑尾炎的腹腔镜手术治疗体会

摘要

目的 总结腹腔镜手术在治疗根部坏疽穿孔复杂阑尾炎患者中的经验。方法 回顾我院治疗20例根部坏疽穿孔性阑尾炎患者临床资料，时间选择2022.2至2024.2期间，所有患者均接受了腹腔镜阑尾切除术。我们对这些患者进行了观察与分析，重点关注手术期间和术后各种指标的变化，以及并发症的发生情况。结果 20例患者均成功接受了腹腔镜手术，平均手术时间和阑尾残端缝合时间为(82.08±29.11)、(7.62±3.21)min较短，术中出血量(20.21±10.17)mL较低，患者术后排气与拔除腹腔引流管时间（23.18±13.03）h、（5.05±2.20）d较快，平均住院时间(11.1±4.0)d显著缩减。术后感染发生率较低，随访复查无人出现粘连性肠梗阻等病症。结论 治疗根部坏疽穿孔性阑尾炎患者，应用腹腔镜手术安全、有效，还可以降低相关并发症的发生风险，有利于患者的术后恢复。

Abstract

Objective To summarize the experience of laparoscopic surgery in the treatment of complex appendicitis with root gangrene and perforation.
Methods The clinical data of 20 cases of root gangrene perforated appendicitis treated in our hospital were reviewed, and the time was selected from 2022.2 to 2024.2. All patients received laparoscopic appendectomy. We observed and analyzed these patients, focusing on changes in various indicators during and after surgery, as well as the occurrence of complications.
Results All the 20 patients underwent laparoscopic surgery successfully. The average operation time and appendix stump suture time were (82.08±29.11) and (7.62±3.21)min, and the intraoperative blood loss was (20.21±10.17)mL. The time of exhalation and removal of abdominal drainage tube after operation was (23.18±13.03) h and (5.05±2.20)d, and the average length of hospital stay was (11.1±4.0)d. The incidence of postoperative infection was low, and no symptoms such as adhesive intestinal obstruction were found during follow-up review.
Conclusion   Laparoscopic surgery is safe and effective in the treatment of root gangrenous perforated appendicitis, and can also reduce the risk of related complications, which is conducive to the postoperative recovery of patients.