CAJ | 학술논문

目的：探讨经脐单孔腹腔镜阑尾切除术的安全行及可行性并总结手术经验。方法回顾分析我院2011年3月至2012年1月行单孔腹腔镜阑尾切除手术的32例患者的病例资料。结果30例成功施行经脐单孔腹腔镜阑尾切除术,手术时间20~75min,术后无出血、肠瘘、切口感染等并发症发生,恢复情况良好,切口美观。1例因既往反复发作盆腔炎,术中见回盲部粘连严重,中转为三孔法切除阑尾。1例阑尾根部坏疽穿孔中转开腹行阑尾切除术。结论经脐单孔腹腔镜阑尾切除术虽然操作难度有所增加,但是安全可行,美容效果明显,值得临床应用。
목적：탐토경제단공복강경란미절제술적안전행급가행성병총결수술경험。방법회고분석아원2011년3월지2012년1월행단공복강경란미절제수술적32례환자적병례자료。결과30례성공시행경제단공복강경란미절제술,수술시간20~75min,술후무출혈、장루、절구감염등병발증발생,회복정황량호,절구미관。1례인기왕반복발작분강염,술중견회맹부점련엄중,중전위삼공법절제란미。1례란미근부배저천공중전개복행란미절제술。결론경제단공복강경란미절제술수연조작난도유소증가,단시안전가행,미용효과명현,치득림상응용。
Objective To explore the umbilical single span the safety and feasibility of laparoscopic appendectomy and summarize the operation experience. Methods Retrospective analysis of our hospital in March 2011 to January 2012 line sin-gle-arch laparoscopic appendectomy surgery of 32 cases of patients information. Results 30 cases of successfully implemented by the umbilical single-arch laparoscopic appendectomy, operation time 20 ~ 75 min, postoperative bleeding complications, such as, intestinal fistula, infection of incision, recovering well, incision and beautiful. Because of always recurrent pelvic inflammatory disease, 1 cases in see back to the blind of adhesion is serious, into three hole method, having your appendix removed. 1 case of gangrene perforating appendix root transit line open appendectomy. Conclusion Although the umbilical single-arch laparoscopic appendectomy operation difficulty increased, but safe and feasible, cosmetic effect, worthy of clinical application.