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首页> 外文期刊>Journal of laparoendoscopic and advanced surgical techniques, Part A >Outcomes of Transumbilical Laparoscopic-Assisted Appendectomy and Conventional Laparoscopic Appendectomy for Acute Pediatric Appendicitis in a Single Institution
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Outcomes of Transumbilical Laparoscopic-Assisted Appendectomy and Conventional Laparoscopic Appendectomy for Acute Pediatric Appendicitis in a Single Institution

机译：单一机构中急性小儿阑尾炎的Termistical腹腔镜辅助阑尾切除术和常规腹腔镜阑尾切除术的结果

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Background: Single-incision laparoscopic appendectomy (SILA) is a potentially safe and feasible alternative to conventional laparoscopic appendectomy using three ports (CLA). However, the safety and efficacy of SILA for complicated appendicitis (gangrenous and perforated) remain unclear. The aim of this study was to evaluate the outcomes of transumbilical laparoscopic-assisted appendectomy (TULAA) not only for simple appendicitis but also for complicated appendicitis, and to compare them with the outcomes of CLA. Methods: All cases of acute pediatric appendicitis who underwent laparoscopic appendectomies in our hospital from 2007 to 2016 were retrospectively reviewed. CLA was performed between January 2007 and October 2011, and TULAA was performed between November 2011 and December 2016. In this study, patients' demographics and operative outcomes for simple appendicitis (catarrhal and phlegmonous) and complicated appendicitis were analyzed, comparing the results of TULAA and CLA. Results: In total, 262 patients underwent laparoscopic appendectomy: CLA in 103 patients and TULAA in 159 patients. All appendectomies were performed in the acute phase. Complicated appendicitis accounted for 60 CLA cases and 81 TULAA cases. There were no significant differences in patients' demographics. Mean operative time in simple appendicitis was significantly shorter in TULAA than in CLA. In addition, complication rates in complicated appendicitis were significantly lower in TULAA than in CLA. Moreover, in each comparison, the postoperative hospital stay was significantly shorter in TULAA than in CLA. Conclusion: In our institution, TULAA has shown to be a safe and effective alternative for both simple and complicated appendicitis in children compared with CLA.
机译：背景：单切口腹腔镜阑尾切除术（SI1A）是使用三个端口（CLA）的常规腹腔镜阑尾切除术的潜在安全可行的替代品。然而，SILA对复杂的阑尾炎（恶晶和穿孔）的安全性和有效性仍然尚不清楚。本研究的目的是评估Transumbilical腹腔镜辅助的阑尾切除术（TULAA）的结果，不仅适用于简单的阑尾炎，还用于复杂的阑尾炎，并将它们与CLA的结果进行比较。方法：回顾性审查2007年至2016年度在我们院内接受腹腔镜阑尾切除术的急性小儿阑尾炎的所有病例。 CLA于2011年1月至2011年1月至2011年10月在2011年11月和2016年12月之间进行。在本研究中，分析了患者的人口统计学和术治疗，复杂的阑尾炎和复杂的阑尾炎，比较了图拉的结果和cla。结果：总共262例腹腔镜阑尾切除术：CLA在159例患者103名患者和图拉。所有阑尾切除术都在急性期进行。复杂的阑尾炎占60个CLA病例和81例TULAA病例。患者人口统计学没有显着差异。在图拉的简单阑尾炎中的平均手术时间明显短于CLA。此外，在图拉的复杂性阑尾炎的并发症率明显低于CLA。此外，在每种比较中，术后医院住宿在图拉在CLA中明显缩短。结论：在我们的机构中​​，图拉在与CLA相比，TULAA已显示在儿童中的简单和复杂的阑尾炎是一种安全有效的替代品。

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