腹腔镜阑尾切除术1261例报告

目的 :总结腹腔镜阑尾切除术的经验。方法 :回顾分析行腹腔镜阑尾切除术 12 6 1例的临床资料。结果 :12 6 1例中 ,12 4 9例在腹腔镜下完成阑尾切除术 ,2例行阑尾周围脓肿引流术 ,10例为阑尾根部穿孔或腹膜后阑尾中转剖腹手术。 1例术后出血而再手术 ,戳孔感染 4例 ,无因肠瘘、肠粘连、肠梗阻而再手术者。结论 :腹腔镜阑尾切除术要正确处理系膜并将阑尾移出腹腔 ,可降低切口感染、肠粘连、肠梗阻的发生率 ,此术式尤其适用于肥胖 ,小儿及化脓坏疽性阑尾炎患者

Laparoscopic appendectomy:with a report of 1261 cases

Objective:To evaluate the effect of laparoscopic appendectomy.Methods:The clinical data of 1261 patients with laparoscopic appendectomy were reviewed retrospectively.Results: Of 1261 patients, 1249 cases were operated on by laparoscopic appendectomy,2 cases were operated on by appendix peripheral abscess drainage,10 cases were converted to open laparotomy because of appendicular root perforation or retroperitoneum appendix.4 cases had perforation infection,1 cases was reoperated because of bleeding,no one was reoperated because of intestinal fistula,adhesion or ileus.Conclusions:During laparoscopic appendectomy,correct treatment of meso-appendix and moving appendix out from abdominal can prevent incision infection,intestinal adhesion and ileus.Laparoscopic appendectomy is especially suitable for fat patient and purulence gangrene appendicitis.