Laparoscopic versus conventional appendectomy in children

Laparoscopic versus conventional appendectomy in children
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儿童腹腔镜阑尾切除术与传统阑尾切除术

DOI:
10.1007/s003830050235
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发表时间:
1997
期刊:
Pediatric surgery international (Print)
影响因子:
--
通讯作者:
S. Hay
S. Hay
中科院分区:
--
文献类型:
--
作者:
S. Hay

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在6个月的时间里,48名儿童进行了传统的阑尾切除术(CA)进行了比较,34名儿童腹腔镜阑尾切除术(LA)的急性和复发性亚急性阑尾炎。年龄4 ~ 12岁,平均8岁。LA所需时间显著更长,为76分钟,而CA为50分钟。95%的LA病例和45%的CA病例住院时间少于2天。恢复正常活动的时间LA组平均为7天,CA组为12天(P< 0.001)。LA患者的伤口并发症较少,外观最令人满意。LA是一种安全的手术,具有探查性、住院时间短、早期Amberment和上级美容效果好的优点。
Over a period of 6 months, 48 children who underwent conventional appendectomy (CA) were compared to 34 children who had laparoscopic appendectomy (LA) for acute and recurrent subacute appendicitis. Their ages ranged from 4 to 12 years (mean 8). LA took significantly longer, 76 min, versus 50 min for CA. Less than 2 days’ hospitalization was required in 95% of LA cases and 45% of CA cases. Time to return to normal activity averaged 7 days for LA and 12 days for CA (P< 0.001). Wound complications were fewer and the cosmetic appearance was most satisfactory in LA patients. LA is a safe operation that has the advantage of being exploratory, with shorter hospitalization time, early ambulation, and superior cosmetic results.