腹腔镜阑尾切除术105例治疗体会  

Experience of laparoscopic appendectomy in 105 cases

作　　者：郑永波[1] 贺占青[1] 孟宪涛[1] 郭明珂[1] 陈盛鹏[1] 杜会改[1] 齐生伟[1] 

机构地区：[1]中国人民解放军第260医院普通外科

出　　处：《中国内镜杂志》2009年第8期865-866,869,共3页China Journal of Endoscopy

摘　　要：目的总结腹腔镜阑尾切除术(LA)的临床经验,探讨LA手术的临床意义。方法回顾性分析2004年以来实施腹腔镜阑尾切除术105例患者的临床资料。结果3例坏疽穿孔性阑尾炎中转开腹,余均经腹腔镜顺利完成;有3例因探查发现卵巢囊肿,同时行经腹腔镜卵巢囊肿摘除术;3例同时行肠粘连松解术。该组患者均痊愈出院,平均住院时间4d。结论腹腔镜阑尾切除术是治疗阑尾炎的良好术式,具有创伤小、恢复快、有美容效果等诸多优点。[ Objective ] To summarize and discuss the clinic experience of laparoscopic appendectomy. [ Methods ] The clinical data of 105 cases receiving laparoscopic appendectomy were analyzed retrospectively. [ Results ] Three cases of root gangrenous perforative appendicitis were transferred into open surgery during the operation, and the rest were finished with laparoseopy. Three cases accepted laparoscopic ovarian cystectomy at the same time because the ovarian cysts were found during the operation. And 3 cases were operated with laparoscopic intestinal adhesion lysis simultaneously. All the cases recovered, and the average hospital time was 4 days. [ Conclusions ] Laparoscopie appendectomy is a pretty good method for appendicitis. The advantage is minimal invasion, short recovery time and hairdressing effect.

关 键 词：阑尾炎:腹腔镜阑尾切除术 

分 类 号：R656.8[医药卫生—外科学]