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Efficacy of Laparoscopic Transumbilical Single-Site Appendectomy for Pediatric Appendicitis and Its Impact on Inflammatory Factors |
WEI Biao, CHEN Shan, CHEN Xin, et al |
Suzhou Hospital, Anhui Medical University, Jiangsu Suzhou 234000, China |
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Abstract Objective: To investigate the efficacy of laparoscopic transumbilical single-site appendectomy (LTSSA) for pediatric appendicitis and its impact on inflammatory factors. Methods: The clinical data of pediatric appendicitis patients treated in our hospital from March 2022 to June 2023 were retrospectively analyzed. 55 patients who underwent LTSSA were randomly selected from the LTSSA group using a random number table, and 50 patients who underwent traditional laparoscopic appendectomy (LTA) were randomly selected from the LTA group using a random number table. The surgical parameters, postoperative recovery, and postoperative complications of the two groups were compared. The improvement of appendicitis symptoms before and 5 days after surgery [Appendicitis Inflammatory Response (AIR) score, Visual Analogue Scale (VAS) score] and the levels of inflammatory factors before, 48 hours after surgery and 5 days after surgery were compared. Results: The operation time, intraoperative bleeding volume, time of first postoperative flatus, time of normal body temperature recovery, time of getting out of bed and activity, length of hospital stay, and incidence of postoperative complications were all lower in the observation group than in the control group, with statistically significant differences (P<0.05). At 5 days after surgery, the AIR and VAS scores of the two groups were lower than before surgery, and the decrease in the observation group was greater than that in the control group, with statistically significant differences (P<0.05). Repeated measures ANOVA showed that the time point effect, group effect, time point and group interaction effect of the two groups of patients after surgery can all affect the changes in CRP, PCT, and WBC levels (P<0.05), and the observation group was lower than the control group, with statistically significant differences (P<0.05). Conclusion: LTSSA for pediatric appendicitis has a positive effect, reduces postoperative complications, lowers inflammatory factor levels, and helps in the rapid recovery of patients.
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[1] Borruel Nacenta S,Ibanez Sanz L,Sanz Lucas R,et al.Update on acute appendicitis:typical and untypical findings[J].Radiologia (Engl Ed),2023,65(1):81-91. [2] 牛臻,宋晓峰,孙静,等.小儿急性阑尾炎临床诊疗特点及病原学分析[J].第三军医大学学报,2020,42(14):1449-1455. [3] 马志,王慧智,李术平,等.腹腔镜微创术CO2气腹对阑尾炎腹内感染患儿细胞免疫因子和肠道功能的影响[J].中华医院感染学杂志,2021,31(8):1211-1215. [4] 秦虹,张士松,胡元军.经脐单部位双通道腹腔镜手术治疗38例小儿急性阑尾炎[J].山东大学学报(医学版),2022,60(12):77-81. [5] 中华医学会小儿外科分会内镜外科学组.腹腔镜小儿阑尾切除术操作指南(2017版)[J].中华小儿外科杂志,2017,38(10):725-732. [6] Andersson M,Kolodziej B,Andersson RE.Validation of the appendicitis inflammatory response (AIR) score[J].World Surg,2021,45(7):2081-2091. [7] He S,Renne A,Argandykov D,et al.Comparison of an emoji-based visual analog scale with a numeric rating scale for pain assessment[J].JAMA,2022,328(2):208-209. [8] 陈远会,伍美,王朝龙等.经脐单部位腹腔镜、传统腹腔镜及开腹手术治疗肠重复畸形的疗效比较[J].中国现代手术学杂志,2023,27(4):295-299. [9] 刘旭,张宏伟,曹慧,等.腹壁吻合器联合经脐单部位腹腔镜杂交手术在小儿阑尾炎中的应用[J].腹腔镜外科杂志,2023,28(6):449-453. [10] 谭诗坤,黄华,陈琦,等.腹腔镜诊治新生儿阑尾炎的体会[J].中国微创外科杂志,2021,21(3):282-285. |
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