Comparison of the effect of laparoscopic appendectomy and laparotomy surgery in the treatment of chronic appendicitis

Abstract

Objective To compare the effect of laparoscopic appendectomy and laparotomy surgery in the treatment of chronic appendicitis .Methods According to the different operation mode , 148 patients with chronic appendicitis were divided into the laparoscopic operation group （62 cases） and abdominal operation group （86 cases）. The operation time ,bleeding volume ,the first time of anal exhaust ,hospitalization time and postoperative complications were observed.The patients were followed up for 6 months to 2 years,the postoperative abdominal adhesion and pain were observed .Results The bleeding volume ,the first time of anal exhaust ,hospital stay and hospitalization expenses in the laparoscopic operation group were significantly less than those in the abdominal operation group （ t=3.307, 2.682,2.703,2.830,all P〈0.05）.The operation time of the two groups had no statistical difference （t=0.506,P〉0.05）.After surgery,the number of patients with abdominal abscess ,intestinal obstruction,infection of incision had no statistically significant differences between the two groups （χ2 =1.132,1.305,1.287,all P〉0.05）.The number of patients with chronic pain in laparoscopic operation group was 6 （10.2%）,which was significantly less than that in the control group （19 cases,22.6%） （χ2 =3.956,P〈0.05）.Conclusion The laparoscopic appendectomy has small trauma,quick recovery,that can be widely explored during resection of abdominal adhesion ,with low incidence rate of postoperative chronic pain ,better therapeutic effect . Key words: Appendicitis; Laparoscopes; Surgical procedures