隐匿三孔法腹腔镜阑尾切除术应用探讨

目的探讨隐匿三孔法腹腔镜阑尾切除术的疗效与优点。方法回顾性分析应用隐匿一孔法施行腹腔镜阑尾切除术的283例患者资料。结果全部手术治愈，其中中转开腹5例（阑尾周围粘连、解剖困难）。手术时间25-110min，平均38min。术后8～12h下床活动，住院4-6d，平均5d。切口感染3冽。术后随访1～18个月，平均6个月，术后无出血、肠瘘、腹腔脓肿、粘连性肠梗阻及切口疝等并发症发生。结论隐匿三孔法腹腔镜阑尾切除术具有安全方便、美容效果好、创伤小、康复快、并发症少、价廉、操作简单等优点，是安全、有效的阑尾切除术式。

Study on application of laparoscopic appendectomy by concealed three-ports technique

Objective To investigate the therapeutic effect and advantage of laparoscopic appendectomy by concealed three-ports technique. Methods The clinical data of 283 patients received concealed three-ports laparoscopic appendectomy were retrospectively reviewed. Results All the patients were cured after appendectomy,including 5 patients required conversion to operation(because of adhesions around the appendix and difficult to dissect). The surgical time ranged from 25 min to 110 min and the mean time was 38 min. After 8 ～ 12h the patients could move and the average length of postoperative stay was 5d (range 4 ～ 6d). 3 cases had postoperative wound infection. None occurred complications such as postoperative bleeding, abdominal abscess, intestinal fistula, adhesion ileus and incision hernia in 6 months on average (range 1 ～ 18 months)after operation. Conclusion Laparoscopic appendectomy by concealed three-ports technique was a safe and available method and had advantages such as convenience and safety,good cosmetic results,less injury,rapid recovery,less complications,cheap and easy.