Abstract：Objective To explore the application effect of abdominal surgery retractor in suspending non-pneumoperitoneum laparoscopic surgery.Methods From April 2017 to May 2018, 30 children who underwent laparoscopic radical resection of Hirschsprung′s disease in the department of pediatric surgery of our hospital were enrolled in the study and they were divided into observation group and control group according to the random number table method, 15 cases in each group.In the observation group, the retractor was used in the suspension non-pneumoperitoneum, and CO2 pneumoperitoneum was used in the control group.The levels of tumor necrosis factor-α (TNF-α), insulin and cortisol before entering the operating room for anesthesia (T0), establishing suspension or 20 minutes after pneumoperitoneum (T1), after lifting the suspension or 10 minutes after end of pneumoperitoneum (T2), 24 hours after completion of surgery (T3) were compared between the two groups.The operation time,hospitalization time and intraoperative blood loss of the two groups of children were recorded.Results There was no significant difference in the insulin level at T0 and T3 between the two groups(P>0.05).The insulin levels at T1,T2 and T3 in the two groups were higher than at T0, and the differences were statistically significant (P<0.05).The insulin levels at T1 and T2 in the observation group were lower than those in the control group, and the differences were statistically significant (P<0.05).There was no significant difference in the cortisol level at T0 between the two groups (P>0.05).The cortisol levels at T1, T2 and T3 in the two groups were higher than at T0,and the differences were statistically significant (P<0.05).The cortisol levels at T1, T2 and T3 in the observation group were lower than those in the control group, and the differences were statistically significant (P<0.05).There was no significant difference in the TNF-α level at T0 and T3 between the two groups (P>0.05).The TNF-α levels at T1, T2 and T3 in the two groups were higher than at T0, and the differences were statistically significant (P<0.05).The TNF-α levels at T1 and T2 in the observation group were lower than those in the control group, and the differences were statistically significant (P<0.05).The operation time and hospitalization time of the observation group were shorter than those of the control group, the intraoperative blood loss was less than that of the control group, and the differences were statistically significant (P<0.05).Conclusion During the operation, suspending non-pneumoperitoneum laparoscopic surgery has less stimulation on the body, so the stress response is relatively less, the safety of the operation is improved.
京公网安备 11010502046607号