摘要
为了充分发挥腹腔镜联合手术的优势，作者改良了腹腔镜胆囊阑尾联合切除术方式：在施行腹腔镜胆囊切除术的同时，仅在右下腹麦氏点加做一个穿刺孔，将阑尾拖出腹腔外，利用常规手术器械切除阑尾。作者为２１例慢性结石性胆囊炎合并慢性阑尾炎患者施行了此改良术式。结果：手术操作简便，时间缩短，患者恢复快，无并发症，临床效果满意。作者认为（１）此术式结合了腹腔镜手术及开腹手术的优点；（２）此术式适合于慢性胆囊炎合并慢性阑尾炎者；（３）此术式适合于较瘦的患者。
The operative procedures of combined laparoscopic cholecystectomy (LC) and appendectomg (LA) were modified in 21 cases with chronic cholecystitis and appendicitis to improve the feasibility of LC associated with LA.In addition to routine LC manoeuvre a trocar was inserted at Mc Burney point,through which the appendix was dragged with laparoscopic clanm out of abdomen and excised with conventional tools.That resulted in convenience and easiness in removal.It is assured that the modification facilitates LA with advantage similar to laparotomy and is indicated in particular for nonobese patient with simultaneous chronic cholecystitis and appendicitis.
出处
《中华消化内镜杂志》
1998年第2期78-79,I000,共3页
Chinese Journal of Digestive Endoscopy
