经脐单孔腹腔镜阑尾切除术82例临床报告

目的探讨经脐单孔腹腔镜阑尾切除术的临床价值。方法我院2009年8月～2010年5月对82例阑尾炎,在脐孔切口1.5 cm应用10 mm 30°腹腔镜,另外置入1～2枚5 mm trocar完成腹腔镜下阑尾切除手术。结果 82例手术均获成功,无中转开放手术及改变手术方式。32例经脐单孔双trocar法手术时间25～50 min,平均34 min。住院时间2～5d,平均3.3 d。50例经脐单孔三trocar法手术时间20～45 min,平均27 min。住院时间2～5 d,平均2.8 d。80例术后随访5～14个月,无切口感染、再发右下腹痛等发生。结论经脐单孔腹腔镜阑尾切除术简单易行、安全、并发症少、恢复快、美容效果较好,但需要特殊的可弯曲腹腔镜操作器械,手术费用较高。

Single-port Transumbilical Laparoscopic Appendectomy: Report of 82 Cases

Objective To evaluate the value of single-port transumbilical laparoscopic appendectomy. Methods The clinical data of 82 cases of appendicitis,who received laparoscopic appendectomy in our hospital from August 2009 to May 2010,were analyzed retrospectively.During the operation,we made a 1.5-cm umbilical incision so that to place a 10-mm 30° laparoscope and another one or two 5-mm trocars.Results The operation was completed successfully in all the cases without conversion to open surgery or other approaches.In the patients who received the operation by two trocars（n=32）,the operation time ranged from 25 to 50 minutes with a mean of 34 minutes,and their mean hospital stay was 3.3 days（2-5 days）.While in the patients who underwent 3-trocar laparoscopy,the operation time ranged from 20 to 45 mintues with a mean of 27 minutes,and their mean hospital stay was 2.8 days（2-5 days）.Follow-up was achieved in 80 cases for 5 to 14 months,during which no incisional infection or recurrent right lower abdominal pain occurred. Conclusion Single-port transumbilical laparoscopic appendectomy is convenient and safe with few complications,quick recovery and good cosmetic results,but high cost because flexible laparoscopic instruments are requested for the procedure.