腹腔镜阑尾切除术133例分析  

ANALYSIS OF 133 CASES OF LAPAROSCOPIC APPENDECTOMY

作　　者：舒柏荣[1] 陆显斌[1] 

机构地区：[1]佛山市南海区平洲医院,广东佛山528251

出　　处：《现代医院》2005年第5期45-46,共2页Modern Hospitals

摘　　要：目的　总结开展腹腔镜手术一年以来,腹腔镜阑尾切除术的经验及手术适应症。方法　分析腹腔镜阑尾切除术1 33例病人的资料。结果　全部病例无中转剖腹,平均住院时间为4 . 1天。无伤口感染、肠粘连、肠梗阻等并发症。结论　腹腔镜阑尾切除术时处理好阑尾系膜及残端,掌握阑尾移出腹腔的方法,可避免戳孔感染,减少肠粘连、肠梗阻的发生。尤其适合于肥胖、小儿、老年人、育龄妇女及诊断未明的腹膜炎患者。Objective To summarize the experience in laparoscopic appendectomy and its indications. Methods To analyze the data of 133 patients underwent laparoscopic appendectomy. Results None of the all patients had been transferred to laparotomy. The mean hospitalized time is 4.1 days. No complications such as wound infection, intestinal adherence or obstruction had occurred. Conclusion During laparoscopic appendectomy, dealing well with the appendicular mesentery as well as residual end, and mastery of the proper method to transfer appendix from abdominal cavity may avoid the infection of penetrating hole, decrease the occurrence of intestinal adherence and obstruction. This operation is especially fit for obesity, children, elderly, woman with childbearing age and undiagnosed peritonitis patients.

关 键 词：腹腔镜阑尾切除术 腹腔镜手术 手术适应症 中转剖腹 住院时间 伤口感染 阑尾系膜 戳孔感染 诊断未明 育龄妇女 肠粘连 肠梗阻 并发症 老年人 腹膜炎 

分 类 号：R656.8[医药卫生—外科学] R656[医药卫生—临床医学]