摘要
目的探讨腹腔镜阑尾切除术(laparoscopic appendectomy,LA)的常见困难和处理办法。方法回顾性分析近3年来该院普外科采用腹腔镜治疗的112例阑尾炎患者的临床资料。结果109例在腹腔镜下顺利完成手术,其余3例中转开腹,阑尾显露困难14例,阑尾周围重度粘连7例,系膜出血5例,阑尾根部坏死6例。手术时间30～125min,住院时间3～8d,3例戳孔感染经对症治疗痊愈,无术后出血、肠粘连等并发症发生。结论LA治疗阑尾炎安全可行,符合微创观点,熟练的腹腔镜技术是保证手术成功、减少并发症的关键。
[Objective] To explore the management methods for the common difficulties during laparoscopic appendectomy （LA）. [Methods] The clinical data of 112 patients with appendicitis, who underwent laparoscopic appendectomy in the department of general surgery in our hospital in recent 3 years, were retrospectively analyzed. [Results] Laparoscopic appendectomy （LA） was successfully performed in 109 cases except for transforming laparotomy in 3 cases. Formidable exposal of appendix occurred in 14 cases, severe adhesions surrounding appendix in 7 cases, appendicular mesenterium hemorrhage in 5 cases and appendicular root necrosis in 6 cases. The operative duration was 30-125 min. The postoperative hospital length was 3-8 d. Puncturing hole infection existed in 3 cases and was cured by symptomatic treatment. There was no complications such as postoperative hemorrhage and ankylenteron. [ Conclusion] As an operative style, LA is safe, feasible and consistent with minitrauma notion. Skillled laparoscopic operative technique is crucial to successful operation and few complications.
出处
《中国内镜杂志》
CSCD
北大核心
2007年第3期294-295,298,共3页
China Journal of Endoscopy
关键词
阑尾炎
阑尾切除术
腹腔镜
appendicitis
appendectomy
laparoseope
