Clinical study on unconventional placement of gastrointestinal decompression tube during the perioperative period of laparoscopic appendectomy in children
儿童腹腔镜阑尾炎手术围术期不常规留置胃肠减压管的临床研究

摘要

目的 探讨儿童腹腔镜阑尾切除围术期不常规留置胃肠减压管的安全性及对术后康复的影响。方法回顾性选取2020年1月-2023年6月我院72例行该手术的急性阑尾炎患儿，分为留置组（32例，常规留置）与非留置组（40例，不留置），对比两组术后相关指标。结果 非留置组术后肛门首次排气时间、恢复正常进食时间、住院时间均短于留置组，术后不良反应发生率低于留置组（P<0.05）。结论 腹腔镜阑尾切除术后不常规留置胃肠减压管安全有效，可促进康复、缩短住院时间，符合ERAS理念，不建议常规留置。

Abstract

Objective To explore the safety of unconventional placement of gastrointestinal decompression tube during the perioperative period of laparoscopic appendectomy in children and its impact on postoperative recovery.
Methods A retrospective selection was conducted on 72 cases of acute appendicitis patients who underwent this surgery in our hospital from January 2020 to June 2023. They were divided into a retention group (32 cases, conventional retention) and a non retention group (40 cases, no retention), and postoperative related indicators were compared between the two groups.
Results The non indwelling group had shorter postoperative anal first exhaust time, time to resume normal eating, and hospital stay than the indwelling group. The incidence of postoperative adverse reactions was lower than that of the indwelling group (P<0.05).
Conclusion   Unconventional placement of a gastrointestinal decompression tube after laparoscopic appendectomy is safe and effective, can promote recovery, shorten hospital stay, and is in line with the ERAS concept. Conventional placement is not recommended.