CAJ | 학술논문

目的探讨经脐单孔腹腔镜在儿童急性化脓性阑尾炎引起腹膜炎和肠管粘连病例中的可行性及疗效.方法总结2006年1月至今59例儿童阑尾炎化脓穿孔或坏疽造成腹膜炎和肠管粘连患儿的临床资料,均选择经脐单孔腹腔镜手术,其中男47例,女12例,年龄8个月～15岁,平均4.5岁.结果 59例均痊愈,单孔法完成手术54例,成功率91.53％,中转三孔腹腔镜手术4例、开腹手术1例；切口感染1例,缝线反应1例,无其他并发症.结论单孔腹腔镜对儿童阑尾炎化脓穿孔或坏疽引起腹膜炎和肠管粘连病例疗效确切、安全可行,适应证与三孔法相同,能用于各种类型儿童阑尾炎,而且操作更微创简便,无腹壁瘢痕更美观.
목적 탐토경제단공복강경재인동급성화농성란미염인기복막염화장관점련병례중적가행성급료효.방법 총결2006년1월지금59례인동란미염화농천공혹배저조성복막염화장관점련환인적림상자료,균선택경제단공복강경수술,기중남47례,녀12례,년령8개월～15세,평균4.5세.결과 59례균전유,단공법완성수술54례,성공솔91.53％,중전삼공복강경수술4례、개복수술1례；절구감염1례,봉선반응1례,무기타병발증.결론 단공복강경대인동란미염화농천공혹배저인기복막염화장관점련병례료효학절、안전가행,괄응증여삼공법상동,능용우각충류형인동란미염,이차조작경미창간편,무복벽반흔경미관.
Objective To evaluate the feasibility and therapeutic effect of single-port laparoscopic appendectomy for perforated appendicitis in children.Methods From January 2006 to September 2010,59 children with peritoritis or perforated appendicitis were treated by single-port laparoscopic approach.Results All the patients recovered well Fifty-four of the 59 cases (91.53％) were successfully treated by the single-port laparoscopic surgery while the 3 cases were converted to three-port approach and 1 case to laparotomy.One with incision infection and the other one with suture reaction were found after operation.No other complications were encountered during the follow-up.Conclusions Single-port laparoscopic appendectomy is effective,less invasive and safe for perforated appendicitis.It is indicated as a better choice for treating all types of appendicitis in children.