What are the advantages of laparoscopic appendectomy

  Appendicitis is a common surgical disease, most common in young people, more men than women, and acute appendicitis is more common clinically, with an incidence of about 1 in 1,000, and surgical resection is an effective means of treating appendicitis. In traditional surgery, an epidural anesthesia is usually used, and an incision of about 3 cm is made above the appendix in the right lower abdomen to enter the abdominal cavity and remove the appendix directly. Laparoscopic appendectomy is usually performed under general anesthesia with three small holes in the belly, and the surgeon relies on special instruments to perform the appendectomy inside the abdominal cavity. The laparoscope has a high-definition camera system that allows for the observation and diagnosis of all corners of the abdominal cavity.  What are the advantages of laparoscopic appendectomy?  1.A large part of the pain after open appendectomy originates from the incision. Laparoscopic surgery is a perforated hole, and almost no one complains of incisional pain after surgery. Therefore, patients after laparoscopic appendectomy will have an easy time getting out of bed the next day; patients after open surgery must be gritting their teeth to get out of bed the next day.  2, open surgery due to incision restrictions, appendectomy end can not be abdominal flushing, because the saline used for flushing is likely not completely sucked out, which will cause the spread of inflammation. Therefore, the inflammatory exudate caused by appendicitis after open surgery is bound to have more or less part of it remaining in the abdominal cavity, which is one of the reasons for the high incidence of intestinal adhesions, intestinal obstruction and abdominal abscess after appendectomy. During laparoscopic surgery, sufficient flushing can be performed, and there is no need to worry about the residual flushing fluid caused by the visual field problem at all.  3. Incisional infection after open appendectomy is a very common “complication”, especially in patients who are obese or have combined diabetes. During laparoscopic surgery, the surgeon’s hand is outside the patient’s abdominal cavity, and only the instruments are inserted into the abdominal cavity through the puncture sheath, so that the puncture hole is well protected. After laparoscopic appendectomy, there are few incisional infections. Even if there is infection, the degree of infection is much less than that of open surgery, and the recovery is much easier.  4, after open appendectomy, the incision site usually has a hard knot, there is an obvious incision scar; laparoscopic surgery, the incision scar is much lighter, plus the site is hidden, even can not be seen. Therefore, it is popular among young women.  5, laparoscopic appendectomy patients are routinely discharged three days after surgery, while open appendectomy patients are rarely discharged three days after surgery.  6.Economically speaking, laparoscopic appendectomy does not cost more than open surgery in terms of total cost because of short hospital stay, less postoperative medication and fewer postoperative complications.