CAJ | 학술논문

目的：探讨腹腔镜应用于复杂性阑尾炎的可行性及其疗效。方法回顾性分析2011年1月至2013年12月90例复杂性阑尾炎行腹腔镜阑尾切除术的临床资料。结果88例腹腔镜完成，2例中转开腹手术，平均手术时间45 min，平均住院时间5．5 d。术后无戳孔感染、腹腔脓肿、腹腔出血以及粘连性肠梗阻等并发症。结论腹腔镜阑尾切除术治疗复杂性阑尾炎安全、疗效可靠，具有创伤小、并发症少，住院时间短等优点。
목적：탐토복강경응용우복잡성란미염적가행성급기료효。방법회고성분석2011년1월지2013년12월90례복잡성란미염행복강경란미절제술적림상자료。결과88례복강경완성，2례중전개복수술，평균수술시간45 min，평균주원시간5．5 d。술후무착공감염、복강농종、복강출혈이급점련성장경조등병발증。결론복강경란미절제술치료복잡성란미염안전、료효가고，구유창상소、병발증소，주원시간단등우점。
Objective To evaluate the methods and their efficacy of laparoscopic appendectomy for 90 cases with complicated appen-dicitis.Methods A retrospective analysis of 90 cases of laparoscopic appendectomy for acute appendicitis from January 2011 to December 2013 was done.Results Eighty-eight cases were performed by laparoscopic appendectomy ,and 2 cases were required conversion to open appendectomy .The average operating time was 45 min,and the mean hospital stay was 5.5 d.There were no complications ,such as trocar site infection,abdominal abscess ,abdominal bleeding and adhesive small bowel obstruction .Conclusion Laparoscopic appendectomy for compli-cated appendicitis is a feasible and safe procedure with less trauma ,shorter hospital stay and fewer morbidities ,and is worth clinical promo-tion.