Mini-Incision Open Appendectomy with Incision Skin Tissue Retractor vs. Laparoscopic Appendectomy: A Retrospective Study of the Management of Child Acute Appendicitis
| Autor: | Wei-Ping Zhang, Ting-Ting Liu, Xian-Ling Li, Qin-Ming Zhang |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Laparoscopic surgery Incision skin tissue retractor medicine.medical_specialty medicine.medical_treatment Operative Time Perforation (oil well) Mini-incision open appendectomy 03 medical and health sciences Postoperative Complications 0302 clinical medicine Appendectomy Humans Minimally Invasive Surgical Procedures Medicine Pharmacology (medical) Child Laparoscopy Original Research Retrospective Studies medicine.diagnostic_test business.industry Retrospective cohort study General Medicine Perioperative Length of Stay Appendicitis medicine.disease Appendix Surgery Retractor medicine.anatomical_structure Child Preschool 030220 oncology & carcinogenesis Acute Disease Female 030211 gastroenterology & hepatology business |
| Zdroj: | Advances in Therapy |
| ISSN: | 1865-8652 0741-238X |
| DOI: | 10.1007/s12325-018-0829-3 |
| Popis: | Introduction This study aims to compare the clinical effects of an incision skin tissue retractor for mini-incision open appendectomy and laparoscopic surgery for pediatric appendicitis. Methods From January 2014 to July 2017, a total of 248 patients were included in the present study. Laparoscopic appendectomy was performed for 108 cases (LA group), and mini-incision open appendectomy with an incision skin tissue retractor was performed for 140 cases (MOA-ISTR group). Then, medical history, age, gender, operative duration, amount of bleeding during the operation, the determination of whether or not the appendix was perforated during the operation, hospitalization days, total cost of hospitalization, and complications after the operation (incision infection or intestinal obstruction) were compared. The SPSS 20.0 software package was used for the statistical analysis. Results There were no statistically significant differences in history, age, gender, perioperative perforation of the appendix, postoperative hospital stay and postoperative complications (incisional infection or intestinal obstruction, P > 0.05). However, the values for duration of surgery, intraoperative blood loss and total hospitalization expense were smaller, when compared with the LA group (P |
| Databáze: | OpenAIRE |
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