单人单部位腹腔镜阑尾切除手术技术探讨  

Umbilical laparo-endoscopic single-site surgery with operative laparoscope and solo surgeon in treatment of acute appendicitis

作　　者：夏东亮[1] 张丽华[1] 李庆浩[1] 

机构地区：[1]泰安市中心医院儿童外科,山东泰安271000

出　　处：《中华腔镜外科杂志（电子版）》2014年第5期35-38,共4页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

摘　　要：目的探讨利用手术腹腔镜(OL)和单人操作技术优化经脐腹腔镜手术(U-LESS)的可行性。方法回顾性分析2013年6月-2014年6月86例利用OL单人操作技术的U-LESS阑尾手术患儿,对比同期32例采用普通腹腔镜(TL)的U-LESS阑尾手术患儿,比较术中、术后的表现情况。结果 OL组手术时间(45.6±13.53)min、手术方式中转2例(2.3%),较TL组(64.9±14.37)min、手术中转6例(18.8%)相比,差异有统计学意义(P<0.05),而OL组术中出血(2.8±1.46)ml、住院时间(6.8±1.2)d、戳孔感染2例,与TL组的(3.0±1.52)ml、(6.9±1.3)d、1例相比,差异无明显意义(P>0.05)。结论通过器械和人员的集约化,可以有效缓解传统U-LESS器械人员拥挤的缺点,操作灵活性提高,有利于增加U-LESS在阑尾急症手术的应用率。Objective To explore the feasibility of umbilical laparoendoscopic single-site surgery （U-LESS）with operative laparoscope （OL）and solo surgeon.Methods Eighty-six children with acute appendicitis underwent U-LESS with OL from Jun.2013 to Jun.2014,and 32 underwent U-LESS with conventional laparoscope （TL）during the same period.The performance and effect of intra-operative and post-operative were collected and compared.Results There were no significant difference between the OL and TL group in intraoperative blood loss （2.8 ±1.46 ml vs 3.0 ±1.52 ml）,postoperative hospital stay （6.8 ±1.2 d vs 6.9 ±1.3 d）and wound infection （2 vs 1 ）.But significant difference between the two groups in the mean operating time （45.6 ±13.53 min vs 64.9 ±14.37 min）and operation conversion （2 vs 6）.Conclusion The U-LESS with OL and solo surgeon is more feasible for some children with appendicitis than the U-LESS with TL.

关 键 词：阑尾切除术 脐部 腹腔镜外科手术 儿童 

分 类 号：R656.8[医药卫生—外科学]