The Application Value of Laparoscopic Minimally Invasive Surgery in the Treatment of Acute Abdomen Patients

YAN Haipeng

doi:10.13919/j.issn.2095-6274.ZHJY202409036

Abstract：Objective To explore and study the clinical value and safety of laparoscopic minimally invasive surgery for patients with acute abdomen. Methods 82 patients with acute abdomen admitted to Jin'an District Hospital in Fuzhou City from March 2022 to February 2024 were selected and randomly divided into a laparo-scopic group (observation group,41 cases) and a conventional open surgery group (control group,41 cases) using a random number table method. Compare the clinical indicators related to surgery and prognosis,clinical efficacy,levels of inflammatory factors,levels of stress response related hormones,and incidence of complications between two groups of patients. Results The observation group had significantly shorter surgical time,intraoperative blood loss,first mobilization time,postoperative exhaust time,incision length,and hospitalization time compared to the control group (P<0.001). The total clinical effective rate of the observation group was 97.56％ (40/41),which was higher than the 78.05％ (32/41) of the control group,and the difference was statistically significant (P=0.007). Before surgery,there was no significant difference in the levels of inflammatory factor C-reactive protein,tumor necrosis factor,interleukin-6,stress response related hormones adrenaline,norepinephrine,and cortisol between the two groups of patients (P>0.05);After surgery,the levels of inflammatory factors and stress-related hormones increased in both groups of patients,and the levels of C-reactive protein,tumor necrosis factor,interleukin-6,adrenaline,and cortisol in the observation group were significantly lower than those in the control group (P<0.001);The observation group had significantly lower levels of norepinephrine than the control group (P=0.010). The inci-dence of complications observed (4.88％) was significantly lower than that of the control group (29.27％),and the difference was statistically significant (P<0.05). Conclusion For patients with acute abdomen,laparoscopic min-imally invasive surgery can significantly shorten the postoperative recovery time,improve clinical efficacy,regulate inflammatory factors,reduce stress response,and reduce the risk of complications.