Effect comparison of different treatment methods of the appendix root and mesentery in laparoscopic appendectomy

ObjectiveTo compare the effects of different treatment methods of the appendix root and mesentery in laparoscopic appendectomy(LA).

MethodsOne hundred seventy-one patients with appendictitis from January 2017 to March 2018 were randomly divided into groups A, B and C.The appendix root and mesentery in group A, group B and group C were treated with using Hemolok-clip clip, silk thread double ligating, and silk thread ligating mesentery combined with "8" suture after embedding the appendix root, respectively.The operation condition(including operation time, intraoperative blood loss and postoperative exhaust time), perioperative complications(including incision infection, abdominal residual abscess and early postoperative inflammatory intestinal obstruction) in three groups were evaluated.

ResultsThe operation time in group A and group C was the shortest and longest, respectively(P < 0.01).The intraoperative blood loss in group B and group C was higher than that in group A(P < 0.01), and the difference of which between group B and group C was not statistically significant(P>0.05).The differences of postoperative exhaust time and perioperative complications among three groups were not statistically significant(P>0.05).

ConclusionsThree methods in dealing with the appendix root and mesentery are safe and reliable in LA.Hemolok-clip can shorten the operation time, and is more suitable for beginner, silk suture combined with embedding the stump after ligation is more suitable for operator with a certain basis of laparoscopic surgery.