关键词: 小儿, 阑尾切除术, 腹腔镜, 开腹手术, 对比研究

Abstract: 【Abstract】 Objective To comparative study the clinical effect on laparoscopic appendectomy (LA) and traditional open appendectomy (OA) for treating appendicitis in children. Methods Ninety-three cases of children with appendicitis during hospitalization from 2009 January to 2012 December treated by LA or OA were analyzed retrospectively. The operation time, intraoperative blood loss and postoperative recovery situation of the LA and OA groups were compared. Results The surgical operation and postoperative recovery of children patients in both two groups were successful and no severe complications (except 6 cases of incision infection, one in LA, five in OA) occurred during and after operation. The operative time and blood loss of two groups were not significantly different (P>0.05). The passing flatus time, off-bed ambulation time, incision pain time, postoperative hospital stay of LA group were lower than that in OA group, and the difference had statistical significance (P<0.05). Conclusion Compared with open appendectomy, laparoscopic appendectomy in children has the advantages of small wound, less complications, faster recovery and nice wound healing, which could be an ideal treatment for pediatric appendicitis patients.

Key words: Children, Appendectomy, Laparoscopy, Open abdominal operation, Comparative study