| Objective: To explore the indications and function of TU-LESS in the treatment of patients with signs of purulent appendicitis with peritonitis, we compare the efficacy of umbilical hole laparoscopic(transumbilical laparoendoscopic single- site surgery, TU-LESS) with traditional laparoscopic three holes(three-port Traditional laparoscopic).Methods: We choose thecases of suppurative appendicitis with perforation or gangreneand secondary peritonitis signs in the First Hospital of Shanxi Medical University general surgery during 2011-09 to 2015-03, where the application TU-LESS technique underwent abdominal exploration appendectomy in 58 cases for the experimental group. In addition, the control group, choose the same operation doctor applied three port laparoscopic appendectomy in 42 cases, comparing of blood loss, postoperative hospital time, the time required for normal bowel surgery time after surgery and the degree of pain after the anesthesia of two groups.Results: Compared with the control group, the experimental group used TU-LESS technique to complete the operation in 52 cases, accounting for 89.65% of the experimental group, other converted to conventional laparoscopy in 4 cases and traditional open appendectomy in 2 cases, The control group used conventional three hole method to complete the operation in 38 cases, accounting for the total amount of 90.47% experimental group operation, surgery change to the traditional open appendectomy in 4 cases. Blood loss, postoperative hospital in time, the time required for normal bowel movements, therewas no significant difference(P> 0.05); traditional laparoscopy group patients feeling pain after the anesthesia higher than experimental group(P <0.05).Conclusions: In the treatment of purulent appendicitis with peritonitis, TU-LESS technology could meet with requirements of abdominal exploration and appendectomy. TU-LESS can be applied not only in simple appendicitis, and the diagnosis and treatment of purulent appendix with peritonitis, which also has the exact effect. |
