The application value of visible precision operation in laparoscopic treatment of acute abdomen for children
GENG Jianlei1, NIU Huizhong1, FAN Yanhui2, LIU Feng1, WANG Xiaoyu3, WANG Zan1, XING Kuo1, NIU Bobo1
1. Department of Pediatric Surgery, 2. Department of Ultrasound, Children’s Hospital of Hebei Province,Shijiazhuang 050031,China; 3. Department of Anesthesiology, Hebei People’s Hospital, Shijiazhuang,050051,China
Abstract：Objective To explore the application value of visible precision operation in laparoscopic treatment of acute abdomen for children.Methods A total of 180 children with acute abdomen who were admitted in our hospital from Aug 2017 to Aug 2019 were enrolled in the study. Children were randomly divided into experimental group (n=90) and control group (n=90). Children in the control group were received laparoscopic surgery, and those in the experimental group were assisted with visible precision operation to perform laparoscopic surgery. The operation time, surgical blood loss, ambulation time, recovery time of bowel sound, postoperative exhaust time, length of hospital stay, complications were compared between two groups.Results The operation time, ambulation time, recovery time of bowel sound, postoperative exhaust time, length of hospital stay in experimental group were shorter than those in the control group, surgical blood loss in experimental group were less than those in the control group, complications in experimental group were decreased than those in the control group (P＜0.05). After operation, there was significant difference in the above indexes between the two groups (P＜0.05).Conclusions Visible precision operation has good application effects in the perioperative period in children patients with acute abdomen. It can significantly reduce postoperative inflammation reaction, accelerate postoperative recovery and cause fewer postoperative complications.
耿建磊, 牛会忠, 樊艳辉, 刘锋, 王晓宇, 王赞, 邢扩, 牛波波. 超声可视化技术在腹腔镜手术治疗急腹症患儿中的应用价值[J]. 武警医学, 2020, 31(10): 878-880.
GENG Jianlei, NIU Huizhong, FAN Yanhui, LIU Feng, WANG Xiaoyu, WANG Zan, XING Kuo, NIU Bobo. The application value of visible precision operation in laparoscopic treatment of acute abdomen for children. Med. J. Chin. Peop. Armed Poli. Forc., 2020, 31(10): 878-880.
Petroianu A,Alberti L R. Accuracy of the new radiographic sign of fecal loading in the cecum for differential diagnosis of acute appendicitis in comparison with other inflammatory diseases of right abdomen:a prospective study[J]. J Med & Life,2012,5(1):85-91.
Agresta F, Ansaloni L, Baiocchi G L, et al. Laparoscopic approach to acute abdomen from the Consensus Development Conference of the Societa Italiana di Chirurgia Endoscopica e nuove tecnologie (SICE), Associazione Chirurghi Ospedalieri Italiani (ACOI), Societa Italiana di Chirurgia (SIC), Societa Italiana di Chirurgia d’Urgenza e del Trauma (SICUT), Societa Italiana di Chirurgia nell’Ospedalita Privata (SICOP), and the European Association for Endoscopic Surgery (EAES) [J]. Surg Endosc, 2012, 26(8): 2134-2164.
Marco Milone, Matteo Nicola, Mario Musella, et al. Computed tomography findings of pneumatosis and portomesenteric venous gas in acute bowel ischemia [J]. World J Gastroenterology,2017,12(39):483-484.
Kihara C,Murata K,Wada Y,et al. Impact of intraoperative transesophageal echocardiography in cardiac and thoracic aortic surgery:experience in 1011 cases[J]. Journal of Cardiology,2013,54(2):282-286.
2020, Vol. 31 
