改良二孔法腹腔镜阑尾切除术的临床应用  

作　　者：景梅 陆文明 石坤和[2] 顾渊[2] 高瑛[2] 

机构地区：[1]云南省个旧市中医医院,661000 [2]上海中医药大学附属市中医医院,200071

出　　处：《浙江临床医学》2017年第8期1481-1482,共2页Zhejiang Clinical Medical Journal

摘　　要：目的 总结改良二孔法行腹腔镜下阑尾切除术的手术经验及技巧.方法 回顾分析96例阑尾炎患者行改良二孔法腹腔镜阑尾切除术的临床资料.脐孔右侧切口,观察孔戳卡位于右上,5mm操作孔位于下缘,第二操作孔（5mm戳卡）选在耻骨联合上缘偏右阴毛遮蔽部位.分离切断阑尾系膜,阑尾根部套扎器套扎,切除阑尾.结果 本组手术均获成功,手术时间平均（30±10）min.8例患者放置负压引流管引流,于术后48-72h内拔除.无切口感染、出血及肠梗阻等并发症发生.患者均痊愈出院,手术当晚或次日晨起床活动,3-5d出院.结论 改良二孔法腹腔镜阑尾切除术操作方便,效果良好,实用.Objective To summarize the operation experience and skill of modified two-port laparoscopic appendectomy. Methods The clinical data of 96 patients who underwent modified two-port laparoscopic appendectomy were retrospectively analyzed.Observation hole（10 mm Trocar）located at right-upper edge of the navel,and the first operating hole（5 mm Trocar）located at lower edge of the navel,another operation hole（5 mm）was at the superior border of pubic symphysis covered by pubic hair. The mesoappendix was separated and cut off close to appendix used electric coagulation.Results The modified two-port laparoscopic appendectomy was successfully performed in all 96 cases without complications such as incision infection,hemorrhage or intestinal obstruction. All patients were cured and discharged after 3-5 days. Conclusion The modified two-port laparoscopic appendectomy is safe and effective.

关 键 词：腹腔镜阑尾切除术 二孔法 效果 

分 类 号：R726.568[医药卫生—儿科]