摘要
目的观察反麦氏点为主操作孔腹腔镜下阑尾切除术的临床效果。方法回顾性分析我科2016年7月-2019年3月200例行腹腔镜下阑尾切除术患者的临床资料,以反麦氏点为主操作孔腹腔镜下完成阑尾切除手术,观察手术时间、患者排气时间、下床时间以及术后并发症发生情况。结果腹腔镜下阑尾切除术均顺利完成,平均手术时间为45 min,术后下床时间为8 h左右,排气时间为12 h^3 d;有7例中转开腹,均因患者回盲部水肿严重,无法分离,1例出现炎性肠梗阻,有2例出现操作孔感染,无出血、粪瘘;术后3 d^7 d出院。结论反麦氏点为主操作孔腹腔镜下阑尾切除术具有安全性高,术者较轻松,对基层医院及初学者较易完成手术的特点,并有利于提高腹腔镜技术,值得推广应用。
Objective To observe and analyze the clinical application value of laminoscopic appendectomy with anti-Mc’s point as the main operation hole, improve the skills of laparoscopic appendectomy, reduce the transition to open abdomen, and improve the comfort of the operator. Methods The data of laparoscopic appendectomy in our department from July 2016 to March 2019 were retrospectively analyzed, and the operation was completed by changing the operation hole method. Results The laparoscopic appendectomy was completed, with an average operation time of45 minutes, a bedtime of about 8 hours after operation, and an exhaust time of 12 hours to 3 days. Seven patients were converted to open abdomen. It was severe and could not be separated, 1 case had inflammatory bowel obstruction, 2 cases had operation hole infection, no bleeding, fecal leakage, and was discharged 3-7 days after surgery. Conclusions Laparoscopic appendectomy with a good operation hole is highly safe and easy for the operator. It is easier for primary hospitals and beginners to complete the operation, and it is beneficial to improve laparoscopic technology, which is worthy of popularization and application.
作者
尧茂付
徐志
王志坚
朱虹
Yao Maofu;Xu Zhi;Wang Zhijian(The People's Hospital of Shangli County,Shangli,Jiangxi 337009)
出处
《基层医学论坛》
2020年第13期1781-1782,共2页
The Medical Forum
基金
2019年萍乡市卫生健康新技术引进项目[萍卫科教字(2019)18号2019065]。
关键词
腹腔镜
阑尾切除术
主操作孔
反麦氏点
应用效果
Laparoscopy
Operation hole selection
Anti-Mcburney point
Application effect
