International Journal of Clinical Research

Objective To explore the safety of unconventional placement of gastrointestinal decompression tube during the perioperative period of laparoscopic appendectomy in children and its impact on postoperative recovery. Methods A retrospective selection was conducted on 72 cases of acute appendicitis patients who underwent this surgery in our hospital from January 2020 to June 2023. They were divided into a retention group (32 cases, conventional retention) and a non retention group (40 cases, no retention), and postoperative related indicators were compared between the two groups. Results The non indwelling group had shorter postoperative anal first exhaust time, time to resume normal eating, and hospital stay than the indwelling group. The incidence of postoperative adverse reactions was lower than that of the indwelling group (P<0.05). Conclusion Unconventional placement of a gastrointestinal decompression tube after laparoscopic appendectomy is safe and effective, can promote recovery, shorten hospital stay, and is in line with the ERAS concept. Conventional placement is not recommended.

Children; Laparoscopic appendectomy; Gastrointestinal decompression; Postoperative recovery; Accelerated rehabilitation surgery