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| Comparison of two Methods of Treatment of Appendiceal Root and Mesentery in Laparoscopic Appendectomy |
| GONG Pangjun |
| Fuyang Hospital Affiliated to Anhui Medical University, Anhui Fuyang 236000, China |
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Abstract Objectives:To study the comparison of two treatments of appendix root and mesentery in laparoscopic appendectomy. Methods: From July 2017 to May 2019, 60 patients with appendicitis who underwent appendectomy in our hospital were selected as the research objects for retrospective analysis. According to the different treatment methods of patients, they were divided into observation group (31 cases) and control group (29 cases). The observation group was treated with heme-o-lok clamp to remove the root and mesentery. The control group was treated with thread ligation to remove the root and mesentery. The operation time, the amount of bleeding during operation, the time of getting out of bed, the time of exhaust and the cost of hospitalization were observed, and the postoperative complications of the two groups were observed and recorded. Results: The amount of bleeding in the observation group was significantly lower than that in the control group, and the hospitalization cost was significantly higher than that in the control group (P<0.05). There was no significant difference in the time of getting out of bed, exhaust time and hospitalization time after operation (P> 0.05), but the detection rate of abdominal distension in the observation group was significantly lower than that in the control group (P<0.05). There was no significant difference in the incidence of diarrhea, vomiting, pain, intestinal obstruction and infection between the two groups (P> 0.05). Conclusion: The method of the hem-o-lok clamp closure and the ligation of the silk thread under the laparoscope is safe and reliable, but the operation time of the hem-o-lok clamp is shorter and the amount of blood loss during the operation is less, but the hospitalization expense of the patients with the ligation of the silk is lower and the cost is more economical.
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2019, Vol. 25 
