探讨特定人群超级微创技术(SMIS)治疗急性阑尾炎患者的疗效及术后康复情况，来评价急性阑尾炎经SMIS治疗后恢复情况。

回顾性分析2016年3月至2024年3月联勤保障部队第九八○医院、第九八八医院采用SMIS治疗急性单纯性阑尾炎的军人患者76例；对照同期住院经腹腔镜手术治疗急性阑尾炎患者中随机选取76例。通过对照两组手术效果、并发症以及术后恢复相关指标来评价两种手术方式术后恢复情况。

两组患者性别、年龄、病程、术前检查无明显差异(P>0.05)。超级微创组1例患者术后4 d再发腹痛，追加手术术后病理诊断为坏疽性阑尾炎。腹腔镜手术组术后切口感染1例。超级微创组住院2~6 d，平均(4.21±1.03)d，腹腔镜手术组住院(3~23)d，平均(8.29±3.81)d(P＝0.000)。超级微创组患者在术后进食时间、术后卧床时间、术后抗生素使用种类及天数、术后止痛药物的应用、腹痛消失时间、出院医嘱中患者休息天数、换药时间等恢复情况明显优于腹腔镜手术组。

急性阑尾炎经SMIS治疗后恢复快，能较快恢复正常生理状态而投入工作和生活，可有效减少医疗资源的浪费。

To investigate efficacy of Super Minimally Invasive Surgery(SMIS) in treating acute appendicitis in specific populations and the status of postoperative rehabilitation, evaluate the recovery of acute appendicitis patients after treatment with SMIS.

A retrospective analysis was conducted on 76 military patients with acute simple appendicitis who received SMIS treatment at the 980th Hospital and 988th Hospital of the Joint Logistics Support Force from March 2016 to March 2024. Meanwhile, 76 patients were randomly selected as controls from those hospitalized during the same period who underwent laparoscopic surgery for acute appendicitis.The postoperative recovery of the two surgical methods was evaluated by comparing the surgical effects, complications, and indicators related to postoperative recovery between the two groups.

There were no significant differences in gender, age, disease course, or preoperative examination results between the two groups (P>0.05). In the SMIS group, one patient experienced recurrent abdominal pain 4 days after surgery and underwent additional surgery; the postoperative pathology confirmed gangrenous appendicitis.In the laparoscopic surgery group, one patient developed a surgical site infection. The length of hospital stay in the SMIS was 2-6 days, with an average of (4.21±1.03)days, while that in the laparoscopic surgery group was (3-23) days, with an average of (8.29±3.81)days (P=0.000). The SMIS group was significantly superior to the laparoscopic surgery group in terms of postoperative recovery indicators, including time to resume oral intake, postoperative bed rest duration, types and duration of postoperative antibiotic use, application of postoperative analgesics, time to resolution of abdominal pain, recommended rest days in discharge advice, and dressing change time.

Patients with acute appendicitis recover quickly after treatment with Super Minimally Invasive Surgery.They can rapidly resume their normal physiological state and return to work and daily life, which effectively reduces the waste of medical resources.