CAJ | 학술논문

目的：探讨腹腔镜阑尾切除术中应用双极电凝处理阑尾系膜、器械打结结扎阑尾根部方法的有效性、安全性。方法回顾分析我院2008年9月至2012年11月1000例应用双极电凝和器械打结施行腹腔镜阑尾切除术的临床资料。结果全部顺利完成腹腔镜阑尾切除术。手术时间15～60 min，平均38 min，术中出血3～10 ml，出现阑尾残端瘘1例。结论应用双极电凝和器械打结法行腹腔镜阑尾切除术，安全可行，手术时间短，出血少，术后恢复快，住院费用低，推广应用价值高。
목적：탐토복강경란미절제술중응용쌍겁전응처리란미계막、기계타결결찰란미근부방법적유효성、안전성。방법회고분석아원2008년9월지2012년11월1000례응용쌍겁전응화기계타결시행복강경란미절제술적림상자료。결과전부순리완성복강경란미절제술。수술시간15～60 min，평균38 min，술중출혈3～10 ml，출현란미잔단루1례。결론응용쌍겁전응화기계타결법행복강경란미절제술，안전가행，수술시간단，출혈소，술후회복쾌，주원비용저，추엄응용개치고。
Objective To evaluate the effectiveness and safety of using the appliance knot and bipolar coagulation electrode in the laparoscopic appendectomy. Methods We analysis all 1000 patients with appendectomy from September 2008 to November 2012,who used the two preview techs to operate appendectomy. Results All surgery were succeed. The operates occupied from 15 minutes to 60 minutes, the average time is 38 minutes. The amount of bleeding is always from 3ml to 10ml for each patient. There is only 1 case with appendiceal stump fistula. Conclusion Used the electrode bipolar coagulation and appliance knot in laparoscopic appendectomy can shorten the time of the operation,reduce the bleeding, help patient′s recovery. This is a valuable techs to extension.