Application of transumbilical single-port laparoscopic technique in treatment of complex appendicitis in children

YANG Dong; YANG Ji-yi; WANG Yun

doi:10.11659/jjssx.09E024149

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Application of transumbilical single-port laparoscopic technique in treatment of complex appendicitis in children

Clinical Research | 更新时间：2025-07-31

- Application of transumbilical single-port laparoscopic technique in treatment of complex appendicitis in children
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 34, Issue 8, Pages: 685-688(2025)
- 作者机构：
  
  1.徐州市中心医院小儿外科，江苏徐州 221000
  2.徐州市中心医院儿科，江苏徐州 221000
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.09E024149
  CLC： R726.5
- Received：29 September 2024，
  
  Published：25 August 2025
- 稿件说明：
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杨冬,杨吉义,王云.经脐单孔腹腔镜技术在儿童复杂性阑尾炎治疗中的应用[J].局解手术学杂志,2025,34(08):685-688.

YANG Dong,YANG Ji-yi,WANG Yun.Application of transumbilical single-port laparoscopic technique in treatment of complex appendicitis in children[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(08):685-688.
杨冬,杨吉义,王云.经脐单孔腹腔镜技术在儿童复杂性阑尾炎治疗中的应用[J].局解手术学杂志,2025,34(08):685-688. DOI： 10.11659/jjssx.09E024149.

YANG Dong,YANG Ji-yi,WANG Yun.Application of transumbilical single-port laparoscopic technique in treatment of complex appendicitis in children[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(08):685-688. DOI： 10.11659/jjssx.09E024149.

摘要

目的

探讨经脐单孔腹腔镜技术在儿童复杂性阑尾炎治疗中的应用效果。

方法

选取2021年1月至2023年8月本院收治的106例复杂性阑尾炎患儿为研究对象，随机分为观察组（53例）和对照组（53例）。观察组患儿予以经脐单孔腹腔镜辅助阑尾切除术，对照组患儿予以开腹阑尾切除术。观察比较2组患儿的围术期指标、Alvarado评分、血清炎症指标及术后并发症发生情况。

结果

观察组患儿的术中出血量、住院时间、术后首次排气时间、术后首次进食时间及术后首次排便时间均显著少/短于对照组（

0.05），而2组患儿的手术时间比较，差异无统计学意义（

0.05）。术前及术后3 d，2组患儿的Alvarado总分及症状、体征、实验室指标维度得分比较，差异均无统计学意义（

0.05）。观察组患儿术后48 h的血清白细胞介素-6（IL-6）、C反应蛋白（CRP）及降钙素原（PCT）水平均显著低于对照组（

0.05）。观察组患儿术后并发症发生率显著低于对照组（

0.05）。

结论

与传统的开腹阑尾切除术相比，经脐单孔腹腔镜辅助阑尾切除术治疗儿童复杂性阑尾炎的创伤更小，术后恢复更快，且并发症更少。

Abstract

Objective

To investigate the application effect of transumbilical single-port laparoscopic technique in the treatment of complex appendicitis in children.

Methods

A total of 106 children with complex appendicitis admitted to our hospital from January 2021 to August 2023 were selected as the research subjects and randomly divided into the observation group （53 cases） and the control group （53 cases）. Transumbilical single-port laparoscopic-assisted appendectomy was performed in children of the observation group，and open appendectomy was performed in children of the control group. The perioperative indexes，Alvarado score，serum inflammation indexes and postoperative complications of children were observed and compared between the two groups.

Results

The intraoperative blood loss，length of hospital stay，time of the first postoperative exhaust， time of the first postoperative eating，and time of the first postoperative defecation of children in the observation group were significantly less/shorter than those in the control group（

0.05）； while there was no statistically significant difference in operation time of children between the two groups（

0.05）. There was no statistically significant difference in Alvarado total score，symptom dimension score，sign dimension score or laboratory index dimension score of children before and 3 days after surgery between the two groups（

0.05）. The serum levels of serum interleukin-6（IL-6），C-reactive protein（CRP） and procalcitonin（PCT） of children 48 hours after surgery in the observation group were significantly lower than those in the control group（

0.05）. The incidence of postoperative complications in the observation group was significantly lower than that in the control group （

0.05）.

Conclusion

Compared with the traditional open appendectomy， transumbilical single-port laparoscopic-assisted appendectomy for the treatment of complex appendicitis in children has less trauma， faster postoperative recovery and fewer complications.

关键词

Keywords

references

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