摘要
目的总结腹腔镜阑尾切除术(LA)的方法、经验和教训。方法回顾性分析2006年6月至2011年12月行LA的1 152例患者的临床资料,其中单纯性阑尾炎237例,化脓性阑尾炎725例,阑尾坏疽、穿孔64例,阑尾脓肿7例,慢性阑尾炎93例,妇科急腹症26例。结果 27例中转开腹,1 125例成功完成LA。手术时间25～85 min,平均40.0 min;术中出血量3～100 mL,平均5 mL。发生手术并发症12例,其中术后出血2例,阑尾残端瘘3例,肠粘连4例,戳孔感染3例,无死亡病例。结论 LA具有术野清晰、探查范围广、手术组织损伤小、肠道干扰小、疼痛轻、恢复快的优点,对诊断不明确的女性患者、肥胖患者、异位阑尾患者,LA有不可替代的优势。
Objective To summarize the methods,experience and lessons of laparoscopic appendectomy（LA）.Methods The clinical data in 1 152 cases of LA form June 2006 to December 2011 were analyzed retrospectively.Among them,237 cases were simple appendicitis,725 cases were suppurative,64 cases were sphacelous and perforated,7 cases were appendiceal abscess,93 cases were chronic appendicitis and 26 cases were gynecological acute abdomen.Results 27 cases were converted to laparotomy,1 125 cases were successful in LA.The operation time was 25-85 min with the averatge time of 40.0 min.The intraoperative bleeding amount was 3-100 mL with average 5 mL.Surgical complications occurred in 12 cases including 2 cases of postoperative bleeding,3 cases of appendiceal stump fistula,4 cases of intestinal adhesion and 3 cases of wound infection.No death case occurred.Conclusion LA has the advantages of clear operative field,broad exploration range,small trauma of operative tissues,few intestinal interference,slight pain and rapid recovery,and the irreplacable superiority to female patients with undetermined diagnosis,obesity and ectopic appendix.
出处
《现代医药卫生》
2013年第1期45-46,共2页
Journal of Modern Medicine & Health
