CAJ | 학술논문

目的探讨3D腹腔镜手术治疗小儿急性阑尾炎的疗效.方法回顾性分析我院2013年10月至2013年11月收治的53例小儿急性阑尾炎病例资料,根据手术方式不同分为3D腹腔镜组和传统腹腔镜组,其中3D腹腔镜组共21例,传统腹腔镜组共32例.对比分析两组的手术时间、住院时间、手术出血量、术后进食时间.结果全部53例急性阑尾炎患儿均行腹腔镜阑尾切除术,无一例中转开腹手术.两组患儿的年龄、性别基本相同,差异无统计学意义.传统腹腔镜组平均手术时间为(30.0±3.5)min,3D腹腔镜组显著缩短为(24.5±3.2)min,两组比较差异有统计学意义(P＜0.05).传统腹腔镜组平均住院时间为1.9d,3D腹腔镜组显著缩短为1.4d,两组比较差异有统计学意义(P＜0.05).所有患儿术后随访1～2个月,无出血、肠瘘、残株炎、肠梗阻等严重并发症发生.结论 3D腹腔镜手术治疗小儿急性阑尾炎视野更清晰、立体感更强,手术更精准、操作更简单和安全性更高,缩短手术时间、住院时间,加快患儿术后恢复.
목적 탐토3D복강경수술치료소인급성란미염적료효.방법 회고성분석아원2013년10월지2013년11월수치적53례소인급성란미염병례자료,근거수술방식불동분위3D복강경조화전통복강경조,기중3D복강경조공21례,전통복강경조공32례.대비분석량조적수술시간、주원시간、수술출혈량、술후진식시간.결과 전부53례급성란미염환인균행복강경란미절제술,무일례중전개복수술.량조환인적년령、성별기본상동,차이무통계학의의.전통복강경조평균수술시간위(30.0±3.5)min,3D복강경조현저축단위(24.5±3.2)min,량조비교차이유통계학의의(P＜0.05).전통복강경조평균주원시간위1.9d,3D복강경조현저축단위1.4d,량조비교차이유통계학의의(P＜0.05).소유환인술후수방1～2개월,무출혈、장루、잔주염、장경조등엄중병발증발생.결론 3D복강경수술치료소인급성란미염시야경청석、입체감경강,수술경정준、조작경간단화안전성경고,축단수술시간、주원시간,가쾌환인술후회복.
Objective To explore the role of three dimensional (3D)-laparoscopy in the treatment of pediatric appendicitis.Methods From October to November 2013,a total of 53 acute appendicitis cases were divided into 2 groups of 3D-laparoscopy (n =21) and two dimensional (2D)-laparoscopy (n =32).Their clinical data of preoperative status,treatments and postoperative management were retrospectively reviewed.Results Laparoscopic appendectomy was performed in all cases without conversion into open approach.Age and gender were not different between two groups.The hospitalization durations were 1.4 and 1.9 days respectively (P＜0.05).The operative duration had significant statistical differences [(24.5 ± 3.2) vs (30.0 ± 3.5) min,P ＜ 0.05].The postoperative follow-up period was 1-2 months.There was no occurrence of such severe complications as hemorrhage,residual intraperitoneal infection,intestinal fistula,appendix stump inflammation or intestinal obstruction,etc.Conclusions 3D-laparoscopy in acute pediatric appendicitis offers a more distinct visual field and a greater spatial sense so that it is more precise,easier,safer and shorter.Also its postoperative recovery is faster and length of stay shorter.