传统腹腔镜器械行单切口腹腔镜阑尾切除术52例报告  

Single-incision Laparoscopic Appendectomy by Using Conventional Laparoscopic Instruments: Report of 52 Cases

作　　者：俞清江[1] 陈帅[1] 周鸿鲲[1] 

机构地区：[1]浙江省嘉兴市第一医院普外科,嘉兴314000

出　　处：《中国微创外科杂志》2016年第5期468-469,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨使用传统腹腔镜器械行单切口腹腔镜阑尾切除术的可行性、安全性及其美容效果。方法回顾性分析我院2013年1月~2014年5月使用传统腹腔镜器械行单切口腹腔镜阑尾切除术52例临床资料。脐上缘2 cm弧形切口置入3枚5 mm trocar完成手术。结果 52例手术均获成功,无中转常规腹腔镜手术或开腹,手术时间30~90 min,（43±7）min,术后住院时间1~7 d,（2.5±0.5）d。术后随访1~3个月,无手术并发症发生,切口隐蔽。结论使用传统腹腔镜器械行单切口腹腔镜阑尾切除术可行,安全,并且美容效果好。Objective To evaluate the feasibility,safety,and cosmetic results of single-incision laparoscopic appendectomy by using conventional instruments. Methods From January 2013 to May 2014,clinical data of 52 patients undergoing singleincision laparoscopic appendectomy in our hospital were retrospectively analyzed. The appendectomy was performed by using conventional instruments through three 5-mm trocars via a 2-cm curved incision above the umbilical margin. Results The singleincision laparoscopic appendectomy was successfully completed in all the 52 cases without conversion to conventional laparoscopic or open surgery. The mean operative time was 43 ± 7 min（ range,30- 90 min）. The average postoperative hospital stay was 2. 5 ± 0. 5days（ range,1- 7 days）. During follow-up visits for 1- 3 months,there were no postoperative complications. The scars were not obvious in all the patients. Conclusion Laparoscopic appendectomy can be achieved through a single incision by using conventional instruments. This approach is feasible,safe,and concealing.

关 键 词：阑尾切除术 腹腔镜 单切口 

分 类 号：R656.8[医药卫生—外科学]