摘要
目的:总结腹腔镜阑尾切除术(LA)的经验并探讨手术适应证。方法:总结分析LA133例的临床资料。结果:133例中急性单纯性阑尾炎12例,急性化脓性阑尾炎91例,其中急性阑尾炎合并卵巢囊肿1例,黄体破裂出血1例,急性盆腔炎2例,回肠内异物致肠穿孔1例。急性坏疽性阑尾炎15例,坏疽穿孔并急性弥漫性腹膜炎13例,慢性阑尾炎2例,其中合并结石性胆囊炎1例。中转剖腹1例,平均住院时间为4.1d。无切口感染、肠粘连、肠梗阻等并发症发生。结论:行LA时妥善处理阑尾系膜及残端,掌握阑尾移出腹腔的方法,可避免戳孔感染,减少肠粘连、肠梗阻的发生。尤其适合于肥胖、小儿、老年人、育龄妇女及诊断未明的腹膜炎患者,可作为阑尾切除的首选方法。
Objective：To evaluate the effect of laparoscopic appendectomy （LA）. Methods： The clinical data of 133 patients receiving laparoscopic appendectomy were reviewed retrospectively. Results： All had been performed LA succesfully, except that one case transferred to open laparotomy. The average hospitalization was 4.1 days. There was no infection, intestinal adhesion or obstruction. Conclusions： Laparoscopic appendectomy has the mirits of little trauma, short hospitalization and quick recovery. It is especially suitable for fat, child, aged, woman and undefinitly peritonitis.
出处
《腹腔镜外科杂志》
2005年第4期206-207,共2页
Journal of Laparoscopic Surgery
关键词
阑尾炎
阑尾切除术
腹腔镜
Appendicitis
Appendectomy
Laparoscopy
