摘要
目的：探讨30°～45°体位腹腔镜拖出式阑尾切除术的优越性。方法：回顾性分析1998年4月至2004年12月906例患者30°～45°体位腹腔镜拖出式阑尾切除资料。结果：所有患者均在30°～45°体位下行拖出式腹腔镜阑尾切除术（LA），术后1例并发切口出血，13例切口感染，无残株炎、粪漏、粘连性肠梗阻等并发症发生。结论：30°～45°体位腹腔镜拖出式阑尾切除术较四孔法、三孔法具有创伤小、并发症少、手术时间明显缩短等优点，但有一定的局限性。
Objective：To investigate the advantage of the pulling-out laparoscopic appendectomy （LA） with 30°～45 ° position. Methods ：906 cases by the pulling-out LA with 30°～45°position from April 1998 to December 2002 were analyzed retrospectively. Resuits：All patients undergoing pulling-out LA were without the complication of stump appendicitis, fecal fistula and adhesive intestinal obstruction or something, except for 1 case of them with the postoperative incisional hemorrhage, 13 cases with the postoperative incisional wound infection. Conclnsions：The Pulling-out LA was of less damage, less complication and shorter operating time than other methods, but its application has some restrictions at some degree.
出处
《腹腔镜外科杂志》
2006年第1期71-72,共2页
Journal of Laparoscopic Surgery
关键词
阑尾切除术
腹腔镜
拖出式
Appendectomy, laparoscopic
Pulling-out
