经脐入路完全腹腔镜下阑尾切除术38例
The Application of Transumbilical Totally Laparoscopic Appendectomy in 38 Patients

作者: 陶绪雄 , 林宝行 , 刘继东 , 唐滔 , 鲍 兴 , 张 杰 , 阎玉矿 , 段君英 :广东省深圳市龙岗中心医院普通外科,深圳; 罗秀玲 :广东省深圳市龙岗区人民医院,深圳;

关键词: 经脐入路阑尾切除术腹腔镜 Transumbilical Appendectomy Laparoscopic

摘要:

目的:探讨经脐入路完全腹腔镜下阑尾切除术(Laparoscopic appendectomy, LA)的优点、可行性及运用价值。方法:急性单纯性阑尾炎15例,急性化脓性阑尾炎23例,行经脐入路完全腹腔镜下阑尾切除术。结果:38例手术均获成功,无中转常规腹腔镜或开腹手术。手术时间30~50 min,平均术后住院3天,无术后并发症。除脐轮皱褶部位外无可见腹壁疤痕。结论:经脐入路完全腹腔镜下LA安全,可行,美容效果佳,与常规LA相此操作有一定难度,但可以克服。

Objective: To evaluate the advantages, feasibility and application of transumbilical total laparoscopic appendectomy (LA). Methods: 15 patients of acute simple appendicitis, 23 patients of acute suppurative appendicitis, were operated by total laparoscopic appendectomy via umbilical approach. Results: Transumbilical total LA was performed successfully in 38 patients, and there was no transfer to conventional laparoscopy or laparotomy. The operation time of all patients was about 30 - 50 min, the mean time after postoperative hospital stay was 3 days. There were no postoperative complications. There was non-visible scar and incision on the abdominal wall, except minor umbilical round folds, Conclusion: The umbilical LA was safe, feasible and well cosmetic. Compared with the conventional LA, there are some difficulties which, however, may be overcome.

文章引用: 陶绪雄 , 林宝行 , 罗秀玲 , 刘继东 , 唐滔 , 鲍 兴 , 张 杰 , 阎玉矿 , 段君英 (2013) 经脐入路完全腹腔镜下阑尾切除术38例。 亚洲外科手术病例研究, 2, 13-15. doi: 10.12677/ACRS.2013.22003

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