经脐双套管技术小儿腹腔镜阑尾切除术  

Transumbilical Double-trocar Technique for Laparoscopic Appendectomy in Children

作　　者：王利[1] 李贵斌[1] 邱云[1] 陈瑜峰[1] 赵卫斌[1] 尹辉[1] 宋连杰[1] 

机构地区：[1]天津市第五中心医院小儿外科,天津300450

出　　处：《中国微创外科杂志》2011年第8期685-686,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨经脐双套管技术联合单通道腹腔镜小儿腹腔镜阑尾切除术的可行性。方法经脐部置入1个10mm trocar(置入单通道腹腔镜),1个5 mm trocar,经腹腔镜操作通道和5 mm trocar置入加长操作器械完成小儿腹腔镜阑尾切除术。结果 38例患儿顺利完成经脐入路腹腔镜阑尾切除术;2例因局部粘连严重,操作困难,中转常规腹腔镜手术。手术时间30～80 min,平均50 min。无切口感染、腹腔脓肿、肠漏等并发症发生。40例术后6个月随访,患儿均恢复顺利,腹壁几乎无可见手术瘢痕。结论经脐双套管技术联合单通道腹腔镜小儿阑尾切除术是一种新型的腹壁无瘢痕手术,可行。Objective To investigate the feasibility of transumbilical double-trocar technique combined with single-channel laparoscopic appendectomy in children.Methods Totally 40 children with appendicitis（18 cases of acute simple appendicitis,12 cases of acute suppurative appendicitis,and 10 cases of chronic appendicitis） underwent transumbilical laparoscopic appendectomy by using double-trocar technique.One 10-mm trocar（to post single channel peritoneoscope） and one 5-mm trocar were placed through umbilical incision.Laparoscopic appendectomy was completed by using a lengthened operating apparatus.Results The operation was completed in all the cases except in two,who were converted to conventional laparoscopic surgery because of operation difficulties.The operation time for laparoscopy was between 30 and 80 minutes（mean 50 minutes）.No incision infection,abdominal abscess,intestinal fistula or other complications occurred.After wound healing there was almost no abdominal visible scar.ConclusionTransumbilical laparoscopic appendectomy by using double-trocar technique combined with single-channel is a novel surgical technique without visible abdominal scars for children.

关 键 词：腹腔镜阑尾切除术 腹壁无瘢痕手术 经脐入路内镜手术 

分 类 号：R726.5[医药卫生—儿科]