阑尾残端不同处理方式对单孔腹腔镜阑尾切除术效果、安全性的影响

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Abstract Objective To explore the influence on the effect and safety of single port laparoscopic appendectomy with different treatment methods of appendix stump. Methods A total of 66 patients with single port laparoscopic appendectomy admitted to the First Department of Surgery of Ruijin People′s Hospital from January 2019 to November 2020 were selected as the research subjects. They were divided into observation group (n=33) and control group (n=33) by random touch ball method. Patients in the control group were treated with biological clip ligation and patients in the observation group were treated with purse bag suture. The length of stay, postoperative ventilation time, operative time,intraoperative blood loss, postoperative pain score at 8 h and the incidence of complications were compared between the two groups. Results The duration of hospital stay and postoperative ventilation in the observation group were shorter than those in the control group, and the operation time was longer than that in the control group, the differences were statistically significant (P<0.05). There were no significant differences in intraoperative blood loss and postoperative pain score at 8 h between the two groups (P>0.05). The total incidence rate of complications in observation group(3.03%) was lower than that in control group (18.18%), and the difference was statistically significant (P<0.05). Conclusion The treatment of appendix stump with biological clip ligation and purse string suture has obvious effect. Purse string suture has the advantages of rapid recovery, fewer complications and long operation time, so the reasonable treatment method can be chosen according to the situation of patients.

Key words： Appendix stump Single port laparoscopic appendectomy Safety Purse string suture Biological clip ligation

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	ZHANG Ming
	ZENG Jiu-ping
	YU Xiao-qiang

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ZHANG Ming,ZENG Jiu-ping,YU Xiao-qiang. Influence on the effect and safety of single port laparoscopic appendectomy with different treatment methods of appendix stump[J]. 中国当代医药, 2021, 28(21): 80-83.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I21/80

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