Abstract:
Objective 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.
Methods 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.
Results 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.
Conclusion 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.
Key words:
Super minimally invasive surgery(SMIS),
Acute appendicitis,
Specific populations,
Laparoscopic surgery,
Postoperative rehabilitation
Jin Huang, Jia Feng, Qiang Yang, Hua Xue, Xuqiang Bian, Jia Zhi. Study on postoperative recovery of acute appendicitis in specific populations after transanal super minimally invasive surgery[J]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2026, 13(01): 30-33.