医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
24期
94-94
,共1页
阑尾切除术%阑尾炎%腹腔镜术
闌尾切除術%闌尾炎%腹腔鏡術
란미절제술%란미염%복강경술
Appendectomy%Appendicitis%Laparoscopy
目的：探讨腹腔镜阑尾切除术(laparoscopic appendectomy,LA)的常见难点和手术技巧。方法回顾分析我院近3年为328例阑尾炎患者行LA的临床资料。结果324例在腹腔镜下顺利完成手术,4例中转开腹,阑尾取出困难62例,特殊位置阑尾22例,阑尾根部坏疽穿孔17例,阑尾周围重度粘连23例,阑尾显露困难25例,系膜出血7例,手术时间20~130 min,住院时间3~9 d,1例戳孔感染经对症处理后痊愈,无术后出血、肠粘连等并发症发生。结论耐心、细致、熟练的腹腔镜外科技术是保证各种阑尾炎一期切除、减少并发症的关键。
目的：探討腹腔鏡闌尾切除術(laparoscopic appendectomy,LA)的常見難點和手術技巧。方法迴顧分析我院近3年為328例闌尾炎患者行LA的臨床資料。結果324例在腹腔鏡下順利完成手術,4例中轉開腹,闌尾取齣睏難62例,特殊位置闌尾22例,闌尾根部壞疽穿孔17例,闌尾週圍重度粘連23例,闌尾顯露睏難25例,繫膜齣血7例,手術時間20~130 min,住院時間3~9 d,1例戳孔感染經對癥處理後痊愈,無術後齣血、腸粘連等併髮癥髮生。結論耐心、細緻、熟練的腹腔鏡外科技術是保證各種闌尾炎一期切除、減少併髮癥的關鍵。
목적：탐토복강경란미절제술(laparoscopic appendectomy,LA)적상견난점화수술기교。방법회고분석아원근3년위328례란미염환자행LA적림상자료。결과324례재복강경하순리완성수술,4례중전개복,란미취출곤난62례,특수위치란미22례,란미근부배저천공17례,란미주위중도점련23례,란미현로곤난25례,계막출혈7례,수술시간20~130 min,주원시간3~9 d,1례착공감염경대증처리후전유,무술후출혈、장점련등병발증발생。결론내심、세치、숙련적복강경외과기술시보증각충란미염일기절제、감소병발증적관건。
Objective To explore the common dif iculties and surgical techniques of laparoscopic appendectomy (LA).Methods The clinical data of 328 cases with appendicitis receiving LA in the last 3 years were analyzed retrospectively.Results Three hundred and twenty four procedures of these cases were successful y done by laparoscopy,the other four cases conversed to conventional operation.It was dif icult to dislodge appendix in 62 cases and to reveal appendix in 25 cases.There were22 cases of ectopic appendix, 17 cases of appendix with gangrenous perforation at root,23cases of severe adhesions around the appendix and 7 cases of the mesentery bleeding.The operative.time were from20min to 130min,the time of stay in hospital were 3to9 days.One case was complicated by infection of poke holes,who recovered after treatment.No other complication was found,such as postoperative hemorrhage,ankylenteron and so on.Conclusion Patience,meticulosity and skil ful technique of laparoscopy are the most important factors to guarantee the success of laparoscopic appendectomy and reduce the rate of complication.
