Department of Surgery, The Second People's Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical University, Guangde Road, Yaohai District, Hefei, 230011, Anhui, China.
Department of Surgery, The First Affiliated Hospital Anhui Medical University, Hefei, 230031, Anhui, China.
BMC Surg. 2023 Jan 4;23(1):1. doi: 10.1186/s12893-022-01884-6.
To investigate the effect of laparoscopic purse-string sutures in adult complicated appendicitis treatment.
The data of 568 adult cases of complicated appendicitis treated by laparoscopic appendectomy at the Hefei Second People's Hospital, Anhui Province, China, from September 2018 to September 2021 were analysed retrospectively. The patients were divided into two groups: 295 cases in the laparoscopic purse-string suture treatment group (observation group) and 273 cases in the simple Hem-o-lok clamp treatment group (control group). The baseline data collected included age, gender, preoperative body temperature, leukocyte count and percentage of neutrophils and the surgery time. The postoperative data collected included antibiotic treatment duration, drainage tube placement time and the incidence of complications.
There were no significant differences in the baseline data of the two groups, including age, gender, preoperative body temperature, leukocyte count and neutrophil percentage (all P > 0.05). Compared with the control group, the postoperative hospital length of stay, duration of antibiotic treatment, the recovery time of peripheral white blood cell and neutrophil counts and the incidence of postoperative complications in the observation group were significantly decreased (P < 0.05).
Purse-string sutures can effectively reduce the incidence of postoperative complications after a laparoscopic appendectomy for adult acute complicated appendicitis. There was faster postoperative recovery when patients' appendiceal stumps were treated with laparoscopic purse-string sutures.
探讨腹腔镜荷包缝合术在成人复杂性阑尾炎治疗中的效果。
回顾性分析 2018 年 9 月至 2021 年 9 月中国安徽省合肥市第二人民医院收治的 568 例成人复杂性阑尾炎患者行腹腔镜阑尾切除术的临床资料。将患者分为两组：腹腔镜荷包缝合治疗组（观察组）295 例和单纯 Hem-o-lok 夹治疗组（对照组）273 例。收集的基线数据包括年龄、性别、术前体温、白细胞计数和中性粒细胞百分比，以及手术时间。收集的术后数据包括抗生素治疗持续时间、引流管放置时间和并发症发生率。
两组患者的基线数据，包括年龄、性别、术前体温、白细胞计数和中性粒细胞百分比，差异均无统计学意义（均 P>0.05）。与对照组相比，观察组患者的术后住院时间、抗生素治疗时间、外周白细胞和中性粒细胞计数恢复时间以及术后并发症发生率均明显降低（P<0.05）。
腹腔镜荷包缝合术可有效降低成人急性复杂性阑尾炎腹腔镜阑尾切除术后并发症的发生率。对阑尾残端采用腹腔镜荷包缝合术处理可加快患者术后康复。
