中国微创外科杂志
中國微創外科雜誌
중국미창외과잡지
CHINESE JOURNAL OF MINIMALLY INVASIVE SURGERY
2014年
10期
935-936
,共2页
温钦%何暖坚%廖伟明%梁永辉
溫欽%何暖堅%廖偉明%樑永輝
온흠%하난견%료위명%량영휘
改良三孔法%腹腔镜阑尾切除术
改良三孔法%腹腔鏡闌尾切除術
개량삼공법%복강경란미절제술
Modified three-port method%Laparoscopic appendectomy
目的:探讨改良三孔法腹腔镜阑尾切除术的临床价值。方法2011年10月~2014年2月我院行改良三孔法腹腔镜阑尾切除术58例。自耻骨联合上方约2 cm阴毛处,做2个长约5 mm横形切口,两切口相距3~5 cm,分别置入5 mm trocar,作为2个操作孔,处理阑尾及其系膜,阑尾根部用套扎线套扎,切除阑尾,阑尾标本装入异物袋取出。结果58例均顺利完成改良三孔法腹腔镜阑尾切除术,手术时间20~80 min,平均35 min;术后住院时间3~7 d,平均4 d。术后2例穿刺口感染,换药处理后切口愈合良好。58例随访3~12个月,平均8个月,无一例出现穿刺口疝和粘连性肠梗阻等并发症。结论改良三孔法腹腔镜阑尾切除术,术后瘢痕更隐蔽,美观效果更好。
目的:探討改良三孔法腹腔鏡闌尾切除術的臨床價值。方法2011年10月~2014年2月我院行改良三孔法腹腔鏡闌尾切除術58例。自恥骨聯閤上方約2 cm陰毛處,做2箇長約5 mm橫形切口,兩切口相距3~5 cm,分彆置入5 mm trocar,作為2箇操作孔,處理闌尾及其繫膜,闌尾根部用套扎線套扎,切除闌尾,闌尾標本裝入異物袋取齣。結果58例均順利完成改良三孔法腹腔鏡闌尾切除術,手術時間20~80 min,平均35 min;術後住院時間3~7 d,平均4 d。術後2例穿刺口感染,換藥處理後切口愈閤良好。58例隨訪3~12箇月,平均8箇月,無一例齣現穿刺口疝和粘連性腸梗阻等併髮癥。結論改良三孔法腹腔鏡闌尾切除術,術後瘢痕更隱蔽,美觀效果更好。
목적:탐토개량삼공법복강경란미절제술적림상개치。방법2011년10월~2014년2월아원행개량삼공법복강경란미절제술58례。자치골연합상방약2 cm음모처,주2개장약5 mm횡형절구,량절구상거3~5 cm,분별치입5 mm trocar,작위2개조작공,처리란미급기계막,란미근부용투찰선투찰,절제란미,란미표본장입이물대취출。결과58례균순리완성개량삼공법복강경란미절제술,수술시간20~80 min,평균35 min;술후주원시간3~7 d,평균4 d。술후2례천자구감염,환약처리후절구유합량호。58례수방3~12개월,평균8개월,무일례출현천자구산화점련성장경조등병발증。결론개량삼공법복강경란미절제술,술후반흔경은폐,미관효과경호。
Objective To explore the clinical application of modified three-port laparoscopic appendectomy. Methods A retrospective analysis was performed on clinical data of 58 patients undergoing modified three-port laparoscopic appendectomy in our hospital from October 2011 to February 2014.Two horizontal incisions 5 mm in length were made at the site about 2 cm above the pubic symphysis, with 3 -5 cm apart between each other.Two 5 mm trocars were placed into for operation.After mobilization of the appendix and its mesenteriolum, the root of the appendix was thread ligated, and the removed appendix was extracted in a bag. Results The modified three-port laparoscopic appendectomy was performed successfully in all the 58 patients.The mean operation time was 35 min (20-80 min) .The mean hospitalization time was 4 days (3-7 d) .Postoperative infection occurred in 2 patients, who were given regular dress changes until the wound healed.All the patients were followed up for 3 to 12 months, with an average of 8 months.There were no incisional hernia or adhesive intestinal obstruction or other complications. Conclusion Modified three-port laparoscopic appendectomy has advantages of better cosmetic outcomes.