摘要
目的 :探讨腹腔镜阑尾切除术中技术的改进及手术的可行性。方法 :使用超声刀行腹腔镜阑尾切除术 5 0 0例 ,其中急性阑尾炎 36 0例 ,慢性阑尾炎 1 1 4例 ,腹膜后阑尾炎 2 6例。结果 :手术均顺利完成 ,无中转开腹 ,手术时间 1 5～ 5 0min ,术中出血 0～ 5ml ,术后平均住院 4d ,5例术后脐部切口感染。结论 :利用超声刀并选择套管针穿刺部位行腹腔镜阑尾切除术具有患者创伤小 ,住院时间短 ,康复快 ,术后切口平整美观等优点。
Objective:To explore the experience of technical improvement and feasibility about laparoscopic appendectomy.Methods:Using ultrasonic scalpel and chosing operating hole on pubic hair in 500 laparoscopic appendectomy cases. They included 360 acute appendicitis cases,114 chronic appendicitis cases and 26 subperitoneal appendicitis.Results:All cases succeeded in laparoscopic appendectomy,the operation time was 15 50 minutes,blood loss was 0 5ml during operation,the average hospitalization after operation was 4 days.There were 5 cases with incision infection in umbilicus.Conclusions:Laparoscopic appendectomy with ultrasonic scalpel and choosing operating hole has minimal invasion,short hospitalization and postoperation repairation,slim operation scar,et al.
出处
《腹腔镜外科杂志》
2004年第1期39-40,共2页
Journal of Laparoscopic Surgery
